A patient who has migraine headaches is prescribed sumatriptan Imitrex 5 mg unit-dose nasal spray. The patient has administered two sprays at 1400, 1600, and 1800 and calls to report little relief from headache pain.
What will the nurse instruct the patient to do? a. Administer 2 sprays at 2000 and call the provider if no relief.
b. Continue using 2 sprays every 2 hours as needed to relieve discomfort.
c. Contact the provider to ask about using an ergot alkaloid medication.
d. Use 3 sprays at the next dose to increase the dose.
Question 2
A patient has been taking narcotic analgesics for chronic pain for several months. The nurse caring for this patient notes that the prescribed dose is higher than the recommended dose.
The patient has normal vital signs, is awake and alert, and reports mild pain. What does the nurse recognize about this patient? a. This patient exhibits a negative placebo effect with a reduced response to the drug.
b. This patient has developed a reaction known as tachyphylaxis because of re-peated exposure to the drug.
c. This patient has developed pharmacody-namic tolerance, which has increased the minimal effective concentration (MEC) needed for analgesic effect.
d. This patient produces higher than normal hepatic enzymes as a result of prolonged exposure to the drug.
Nurses may collaborate with social workers, physicians, and other members of the health care team to
Example of problem focused patient
Patient wearing an abularm
Patient registration form.
A patient with exophthalmos.
Multiple-dose drug administration. Drug A and drug B are administered every 12 hours. Drug B reaches ...