A nurse is teaching a female client who has a new prescription for transdermal sumatriptan to treat migraine headaches. Which of the following instructions should the nurse include?

Choice A reason: Consume a high-protein diet

A high-protein diet is not typically recommended for clients with hepatitis B. While protein is essential for overall health, excessive protein intake can put additional strain on the liver, which is already compromised in hepatitis B patients. A balanced diet with adequate protein, carbohydrates, and fats is more appropriate.

Choice B reason: You may donate blood 6 months after completing the medication regimen

Clients with hepatitis B should not donate blood. The hepatitis B virus can be transmitted through blood, and even after completing a medication regimen, the virus can still be present in the blood. Therefore, this statement is incorrect and potentially harmful.

Choice C reason: Take acetaminophen every 4 hours, as needed, for discomfort

Acetaminophen should be used with caution in clients with hepatitis B. The liver metabolizes acetaminophen, and excessive use can lead to liver damage. It is crucial to consult with a healthcare provider before taking any medication, including acetaminophen, to avoid exacerbating liver issues.

Choice D reason: Rest frequently throughout the day

Resting frequently throughout the day is an important part of managing hepatitis B. The liver plays a crucial role in energy metabolism, and when it is compromised, clients may experience fatigue. Adequate rest helps the body recover and manage symptoms more effectively.

Choice A reason: Hyperlipidemia

Hyperlipidemia, or high levels of lipids in the blood, can be a contributing factor to acute pancreatitis. Elevated triglycerides can lead to the development of pancreatitis, especially when levels exceed 1000 mg/dL. However, it is less common compared to gallstones and alcohol abuse as a cause of acute pancreatitis.

Choice B reason: Gallstones

Gallstones are one of the most common causes of acute pancreatitis. They can block the bile duct, leading to a buildup of pancreatic enzymes and subsequent inflammation of the pancreas. This condition, known as gallstone pancreatitis, accounts for a significant percentage of acute pancreatitis cases. Therefore, it is crucial for the nurse to inquire about a history of gallstones when assessing a client with acute pancreatitis.

Choice C reason: COPD

Chronic Obstructive Pulmonary Disease (COPD) is not directly related to the development of acute pancreatitis. While COPD is a significant chronic condition that affects the lungs, it does not have a known association with pancreatitis. Therefore, this factor is less relevant in the context of acute pancreatitis.

Choice D reason: Diabetes mellitus

Diabetes mellitus can be both a consequence and a risk factor for pancreatitis. Chronic pancreatitis can lead to diabetes due to the damage to insulin-producing cells in the pancreas. However, diabetes itself is not a common cause of acute pancreatitis. It is more relevant in the context of chronic pancreatitis and its complications.