A nurse is teaching a client who has a new prescription for ergotamine to treat vascular headaches. The nurse should inform the client that which of the following is a potential adverse effect of this medication?
Weight gain
Constipation
Hypoglycemia
Muscle pain
The Correct Answer is D
A. Weight gain: Ergotamine does not typically cause weight gain. Its primary adverse effects are related to vascular and neuromuscular systems rather than metabolic changes.
B. Constipation: Constipation is not a common adverse effect of ergotamine. The medication primarily affects smooth muscle in blood vessels rather than gastrointestinal motility.
C. Hypoglycemia: Ergotamine does not influence blood glucose levels, so hypoglycemia is not an expected adverse effect.
D. Muscle pain: Ergotamine can cause vasoconstriction of peripheral blood vessels, which may lead to muscle pain, weakness, or tingling in the extremities. This neuromuscular effect is a recognized potential adverse effect of the medication.
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Related Questions
Correct Answer is C
Explanation
A. Food and Drug Administration (FDA): The FDA provides information about drug approval, safety, and labeling, but it is not the primary resource for practical administration guidance in a clinical setting.
B. The Joint Commission (TJC): TJC focuses on healthcare quality and safety standards, accreditation, and patient safety goals, rather than detailed medication administration instructions.
C. Medication Administration Record (MAR): The MAR contains the client-specific medication list, dosages, routes, and times. It is the most direct and reliable resource for a nurse to review prior to administering unfamiliar medications.
D. Agency for Healthcare Research and Quality (AHRQ): AHRQ provides evidence-based guidelines and research on healthcare practices but does not serve as a primary source for step-by-step medication administration information.
Correct Answer is A
Explanation
A. A young adult who has a febrile illness: Receiving an inactivated influenza vaccine during an acute febrile illness can increase the risk of adverse reactions and may reduce the immune response. Vaccination should be postponed until the illness resolves.
B. A young adult who is pregnant: Inactivated influenza vaccines are safe during pregnancy and are recommended to protect both the mother and the fetus from influenza-related complications. Pregnancy is not a contraindication.
C. A child who has a hypersensitivity to amoxicillin: Hypersensitivity to antibiotics like amoxicillin does not contraindicate the influenza vaccine, as there is no cross-reactivity between amoxicillin and the vaccine components.
D. A child who has cerebral palsy: Cerebral palsy is a neurological condition and does not prevent administration of the inactivated influenza vaccine. Vaccination is encouraged in children with chronic conditions to reduce infection risk.
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