Author Question: A young woman who is 14 weeks pregnant has sought care because she has been experiencing migraine ... (Read 77 times)

RYAN BANYAN · **on:** Jul 23, 2018

A young woman who is 14 weeks pregnant has sought care because she has been experiencing migraine headaches with increasing severity and frequency in recent months.

She states, My headaches used to be something I could live with, but now they're affecting every other part of my life. The patient has conducted online research and requested a prescription for ergotamine. How will this patient's current health status affect the clinician's response to this request? A) The patient can safely use ergotamine but must be monitored for blood dyscrasias.
B) The patient must use a reduced dose of ergotamine until she has given birth.
C) The patient must wait until she has given birth before taking ergotamine.
D) The patient cannot safely take ergotamine until she has weaned her infant.

Question 2

A patient states that he has been taking his prescribed clindamycin as ordered, but that it has been causing him to have frequent diarrhea. How should the nurse best respond to this patient's statement?

A) Reemphasize the importance of taking clindamycin with food.
B) Encourage the patient to temporarily use an over-the-counter antidiarrheal.
C) Encourage the patient to increase his fluid intake until the course of treatment is complete.
D) Liaise with the patient's care provider to have the drug discontinued.

nathang24 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Feedback:
Pregnancy and lactation are contraindications to the use of ergotamine.

Answer to Question 2

D
Feedback:
The FDA has issued a black box warning for clindamycin regarding the potential of severe and possible fatal colitis. If diarrhea develops in a patient receiving clindamycin, discontinuation of the drug is essential.