For which client with severe migraine headaches would the nurse question an order for sumatriptan?
A 58-year-old client with gastrointestinal reflux disease
A 65-year-old client with mild emphysema
A 72-year-old client with hyperthyroidism
A 48-year-old client with hypertension
The Correct Answer is D
Choice A rationale: Gastrointestinal reflux disease is not typically a contraindication for sumatriptan.
Choice B rationale: Mild emphysema is not typically a contraindication for sumatriptan.
Choice C rationale: Hyperthyroidism is not typically a contraindication for sumatriptan.
Choice D rationale: Sumatriptan, a medication used for migraines, may elevate blood pressure, so it would be questionable for a client with hypertension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: This is not relevant to the current condition of the patient and does not support a diagnosis of renal calculi.
Choice B rationale: This is a sign of upper gastrointestinal bleeding, which can have many causes such as peptic ulcer, gastritis or esophageal varices. It is not related to renal calculi or urinary tract problems.
Choice C rationale: Renal calculi usually causes pain which usually radiates anteriorly to the lower abdomen, groin, labia, testicles or the perineum depending on the location of the stone.
Choice D rationale: This is a sign of hematuria, which is blood in the urine caused by the passage of renal calculi (kidney stones) through the urinary tract. Hematuria can also cause the urine to appear dark or brown in color.
Correct Answer is A
Explanation
Choice A rationale: Hypoglycemia (blood sugar less than 30 mg/dL) can lead to seizures due to inadequate glucose supply to the brain.
Choice B rationale: Anorexia (loss of appetite) is not directly associated with low blood sugar but can be a symptom of other conditions.
Choice C rationale: Anhidrosis refers to the inability to sweat and is not typically associated with low blood sugar.
Choice D rationale: Bradycardia (slow heart rate) can be a symptom of severe hypoglycemia but is not the primary complication expected at this blood sugar level.
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