The nurse is caring for a patient with migraine headaches. Which assessment best indicates that suma agonist, is exerting the desired therapeutic effect?
The patient experiences decreased frequency of migraine headaches.
The patient does not experience any more migraine headaches.
The patient reports the termination of the migraine headache after the drug is administered.
The patient experiences increased nausea associated with the migraine headache.
The Correct Answer is C
Choice A rationale: While a decreased frequency of migraine headaches is a positive outcome, it does not directly indicate the immediate therapeutic effect of a sumatriptan (a serotonin receptor agonist). It may suggest a preventive effect over time.
Choice B rationale: Complete absence of migraine headaches is a positive outcome, but it is not always achievable. Immediate cessation of all headaches might not be realistic with every dose.
Choice C rationale: This is correct. Sumatriptan, a serotonin receptor agonist, is designed to terminate or relieve an ongoing migraine headache when administered during an attack. The patient reporting the termination of the migraine headache after drug administration suggests the desired therapeutic effect.
Choice D rationale: Increased nausea is not a desired therapeutic effect of sumatriptan. Sumatriptan is used to relieve the symptoms of migraines, including nausea, not exacerbate them.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Methylphenidate is a central nervous system stimulant, and excessive caffeine intake can exacerbate its stimulant effects. Consuming an unlimited number of cola soft drinks, which typically contain caffeine, is not advisable. The patient should be educated to moderate caffeine intake to avoid potential interactions and side effects.
Choice B rationale: Methylphenidate can interact with caffeine, so avoiding chocolate, coffee, and tea is a valid recommendation to prevent excessive stimulant effects.
Choice C rationale: Decaffeinated coffee still contains a small amount of caffeine, and patients taking methylphenidate should be aware of this to manage their overall caffeine intake.
Choice D rationale: Taking methylphenidate after breakfast is a common recommendation to minimize appetite suppression and potential weight loss associated with the medication.
Correct Answer is B
Explanation
Choice A rationale: Selective stimulation of beta2 receptors is less likely to cause hypoglycemia; beta1 receptors are more involved in glucose metabolism.
Choice B rationale: Beta2 receptors are primarily found in the bronchioles of the lungs, and their stimulation leads to improved breathing.
Choice C rationale: Tachycardia is more commonly associated with the selective stimulation of beta1 receptors.
Choice D rationale: Beta2 receptors are not typically involved in the modulation of pain perception.
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