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Author Question: A young woman who is 14 weeks pregnant has sought care because she has been experiencing migraine ... (Read 98 times)

RYAN BANYAN

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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.



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nathang24

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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.




RYAN BANYAN

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Reply 2 on: Jul 23, 2018
Gracias!


patma1981

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Reply 3 on: Yesterday
Excellent

 

Did you know?

According to the Migraine Research Foundation, migraines are the third most prevalent illness in the world. Women are most affected (18%), followed by children of both sexes (10%), and men (6%).

Did you know?

Cucumber slices relieve headaches by tightening blood vessels, reducing blood flow to the area, and relieving pressure.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates’s recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

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Vital signs (blood pressure, temperature, pulse rate, respiration rate) should be taken before any drug administration. Patients should be informed not to use tobacco or caffeine at least 30 minutes before their appointment.

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More than one-third of adult Americans are obese. Diseases that kill the largest number of people annually, such as heart disease, cancer, diabetes, stroke, and hypertension, can be attributed to diet.

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