A patient has been prescribed propranolol (Inderal) for migraine ...

[gonzo233]

A patient has been prescribed propranolol (Inderal) for migraine headaches. The patient asks the nurse how the medication works. Select the nurse's most appropriate response for this medication's benefits.
 
  a. This medication can reduce the number and intensity of migraine attacks.
  b. This medication can abort an acute migraine attack.
  c. This medication is more effective in women than in men.
  d. This medication is especially useful in treating menstrual migraines.

Question 2

A nurse admits a patient who has chronic pain and has been taking morphine sulfate for 4 months. The nurse should anticipate which of the following long-term effects in the patient?
 
  a. Tolerance
  b. Psychosomatic symptoms
  c. Withdrawal
  d. Respiratory depression

[epscape]

Answer to Question 1

ANS: A
Propranolol can reduce the number and intensity of attacks in approximately 70 of patients, but it does not abort acute attacks.
Propranolol is a preventive treatment for migraines, not an abortive treatment.
Propranolol is not more effective in women than men as a preventive treatment for migraines.
Menstrual migraines are more effectively managed with estrogen therapy, because they are hormone induced.

Answer to Question 2

ANS: A
With prolonged use, morphine sulfate produces tolerance in a patient.
Psychosomatic disorders are not expected in a patient taking morphine sulfate long term.
Until the patient stops taking the morphine sulfate, which is not indicated here, withdrawal would not be a concern.
Respiratory depression would most likely have occurred during the initial stages of drug therapy and would be less of a concern at 4 months into the regimen.

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