Author Question: The client with a headache rates the pain at a 3 on a 110 scale. Which medication would the nurse ... (Read 47 times)

AEWBW · **on:** Jul 24, 2018

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 · **Reply #1 on:** Jul 24, 2018

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.