The client with a headache rates the pain at a 3 on a 110 scale. ...

[AEWBW]

The client with a headache rates the pain at a 3 on a 110 scale. Which medication would the nurse administer?
 
  1. Sumatriptan (Imitrex), subcutaneous
  2. Dihydroergotamine (D.H.E.45) intranasally
  3. Butorphanol (Stadol) IM
  4. Ibuprofen (Motrin) p.o.

Question 2

The client has been prescribed Percocet for pain. What should the nurse advise this client to avoid?
 
  1. Green, leafy vegetables
  2. Increased fluids
  3. Vitamin supplements
  4. Acetaminophen (Tylenol)

[al]

Answer to Question 1

Correct Answer: 4

Rationale 1: Sumatriptan (Imitrex), subcutaneous is a triptan used to treat migraines.
Rationale 2: Dihydroergotamine (D.H.E.45) intranasally is an ergot alkaloid, which is used to treat migraines.
Rationale 3: Butorphanol (Stadol) IM is an opioid analgesic. The pain is rated 3/10, and an NSAID is indicated for less severe pain.
Rationale 4: Ibuprofen (Motrin) would be the appropriate choice because the severity of the headache is rated 3/10.

Global Rationale: Ibuprofen (Motrin) would be the appropriate choice because the severity of the headache is rated 3/10. Sumatriptan (Imitrex), subcutaneous is a triptan used to treat migraines. Dihydroergotamine (D.H.E.45) intranasally is an ergot alkaloid which is used to treat migraines. Butorphanol (Stadol) IM is an opioid analgesic. The pain is rated 3/10, and an NSAID is indicated for less severe pain.

Answer to Question 2

Correct Answer: 4

Rationale 1: Green, leafy vegetables are not contraindicated for a client taking Percocet.
Rationale 2: Increased fluids help to prevent constipation.
Rationale 3: Vitamin supplements are not contraindicated for a client taking Percocet.
Rationale 4: Acetaminophen (Tylenol) should be avoided if a client is taking Percocet because it contains acetaminophen.

Global Rationale: Acetaminophen (Tylenol) should be avoided if a client is taking Percocet because it contains acetaminophen. Green, leafy vegetables are not contraindicated for a client taking Percocet. Increased fluids help to prevent constipation. Vitamin supplements are not contraindicated for a client taking Percocet.

[AEWBW]

TYSM

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Gracias!