The nurse receives an order for a triptan for a patient diagnosed with a cluster headache.
What drug should be indicated for this purpose?
Sumatriptan (Imitrex).
Naratriptan (Amerge).
Frovatriptan (Frova).
Almotriptan (Axert).
The Correct Answer is A
Choice A rationale
Sumatriptan (Imitrex) is a selective serotonin receptor agonist that helps constrict blood vessels in the brain and is typically used to treat migraine and cluster headaches. Its effectiveness is due to its ability to reduce inflammation and alleviate the pain associated with these headaches.
Choice B rationale
Naratriptan (Amerge) is also a triptan used for the treatment of migraines but is not specifically indicated for cluster headaches.
Choice C rationale
Frovatriptan (Frova) is used mainly for the acute treatment of migraine headaches and is not indicated for cluster headaches.
Choice D rationale
Almotriptan (Axert) is used to treat migraines and does not have an indication for cluster headaches.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Many complementary or alternative therapies can interact with prescribed medications, potentially causing serious health problems.
Choice B rationale
This is not a valid reason for asking about alternative therapies, as the nurse's role is to ensure safe and effective use of prescribed medications.
Choice C rationale
Non-compliance is not the primary concern when asking about alternative therapies; potential interactions are.
Choice D rationale
The cost of treatments is a consideration, but it is not the primary reason for asking about alternative therapies.
Correct Answer is B
Explanation
Choice A rationale
Peripheral edema is more commonly associated with right-sided heart failure rather than left-sided. This is because right-sided heart failure leads to systemic venous congestion, causing fluid to accumulate in the peripheral tissues, particularly in the legs and ankles.
Choice B rationale
Pulmonary edema is a major concern in left-sided heart failure due to the inability of the left ventricle to effectively pump blood out to the systemic circulation. This results in blood backing up into the pulmonary veins, leading to fluid accumulation in the lungs.
Choice C rationale
Liver edema, or hepatomegaly, is more typically seen in right-sided heart failure, where the failure of the right ventricle causes blood to back up into the systemic circulation, affecting the liver and other organs.
Choice D rationale
Abdominal edema, or ascites, is also more associated with right-sided heart failure. This condition occurs due to increased pressure in the veins and capillaries, leading to fluid leakage into the abdominal cavity.
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