Author Question: An adult client with a history of obesity, asthma, peripheral vascular disease, and migraine ... (Read 84 times)

justinmsk · **on:** Jul 23, 2018

An adult client with a history of obesity, asthma, peripheral vascular disease, and migraine headaches tells the nurse she saw an advertisement in a magazine for a drug for migraine headaches:

The drug was Imitrex; it looked very effective, and I wonder why my provider hasn't talked to me about using it for my headaches. What is the nurse's best response to this question about sumatriptan (Imitrex)?
1. Your peripheral vascular disease is a contraindication for the drug.
2. You have asthma, so you cannot use the drug.
3. I think it will be good for you. Bring in the ad.
4. Once you lose some weight, the drug will be perfect for you.

Question 2

The nurse monitoring a client receiving morphine therapy would be watchful for which common adverse side effects?

1. Hypertension, diarrhea, and sedation
2. Hypertension, respiratory depression, and constipation
3. Hypotension, diarrhea, and insomnia
4. Hypotension, respiratory depression, and constipation

Koolkid240 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Sumatriptan (Imitrex) is contraindicated in clients with peripheral vascular disease, CAD, and cerebrovascular disease due to the risk of myocardial infarction.
Rationale 2: Clients with asthma can safety use sumatriptan.
Rationale 3: The drug is not ideal for this client due to her health history.
Rationale 4: Obesity is not a contraindication for sumatriptan.
Global Rationale: Sumatriptan (Imitrex) is contraindicated in clients with peripheral vascular disease, CAD, and cerebrovascular disease due to the risk of myocardial infarction. Clients with asthma can safety use sumatriptan. The drug is not ideal for this client due to her health history. Obesity is not a contraindication for sumatriptan.

Answer to Question 2

Correct Answer: 4
Rationale 1: Although morphine sulfate can cause sedation, it usually does not cause diarrhea or hypertension.
Rationale 2: Although morphine sulfate causes respiratory depression and constipation, it does not cause hypertension, but rather hypotension.
Rationale 3: Although morphine sulfate can cause hypotension, it usually does not cause diarrhea or insomnia.
Rationale 4: The most common adverse effects of morphine sulfate therapy are hypotension, respiratory depression, and constipation.
Global Rationale: The most common adverse effects of morphine sulfate therapy are hypotension, respiratory depression, and constipation. Although morphine sulfate can cause sedation, it usually does not cause diarrhea or hypertension. Although morphine sulfate causes respiratory depression and constipation, it does not cause hypertension, but rather hypotension. Although morphine sulfate can cause hypotension, it usually does not cause diarrhea or insomnia.