Question 1

The client has been keeping a headache diary" of her migraines.Upon review of this diary,the nurse notes that the headaches are described as mild and have happened four times in the last 3 months.The client reports that she generally just lies down until they pass" but that her new job will not allow that time.She is requesting information about pain medication.What medications would the nurse expect to be prescribed?
Select all that apply.

Accepted Answer

Ibuprofen and Acetaminophen with caffeine are common over-the-counter medications used for mild headaches. Sumatriptan and Ergotamine are typically used for more severe migraines, and Amitriptyline is used for prevention rather than acute treatment.

Question 2

The nurse and the client have established this goal: The client will verbalize safety considerations for use of tramadol (Ultram)before being dismissed from the hospital." Which client statements would support evaluation that this goal has been achieved?
Select all that apply.

Accepted Answer

A) The client recognizes the potential for tramadol to cause drowsiness or impair driving ability and plans to refrain from driving until the effects are known. This indicates an understanding of the potential safety risks of the medication.

C) The client acknowledges the potential for drug interactions and plans to avoid taking kava while on tramadol. This indicates an understanding of how tramadol may interact with other medications or supplements.

E) The client plans to work with a healthcare provider to taper off tramadol when it is no longer needed. This indicates an understanding of the importance of safely discontinuing medication use and preventing withdrawal symptoms.

B) The client should not be consuming alcohol while taking tramadol. This statement suggests that the client does not fully understand the safety considerations for tramadol use.

D) Aged cheese does not interact with tramadol, so this statement is irrelevant to evaluating the client's understanding of safety considerations for tramadol use.

Question 3

The nurse receives a medication order for fentanyl patches (Duragesic)for a new home health client.What should the nurse check before ordering these patches from the pharmacy?
Select all that apply.

Accepted Answer

The nurse should check if the client has ever taken opioids to assess tolerance and potential risk of opioid-naive reactions. Additionally, checking for adverse reactions to morphine is important as it may indicate potential reactions to fentanyl, another opioid.

Question 4

A client has been treated for a migraine headache,given a prescription for sumatriptan (Imitrex),and is being dismissed from the clinic.Which client statements would the nurse evaluate as meeting the goal that,prior to dismissal,the client will verbalize symptoms that indicate the need to contact the health care professional?
Select all that apply.

Accepted Answer

The answer of A client has been treated for a...

Question 5

A client who is allergic to morphine has been receiving meperidine (Demerol)75-100 mg IM every 6 hours for the last 3 days.Five hours after the last dose,the client calls the nursing desk and says,I need some pain medication.I am hurting so badly that I am shaking." What should the nurse do?
Select all that apply.

Accepted Answer

Given the client's severe pain and the onset of shaking, it is crucial to reassess the situation and potentially adjust the treatment plan. Collaboration with the healthcare provider (D) is necessary to ensure the client's safety and to consider alternative pain management strategies or dosages. Asking the client when the shaking first began (E) is important for assessing potential withdrawal symptoms, side effects, or the effectiveness of the current pain management strategy. Administering a standard dose without further assessment could be unsafe.

Question 6

A client with a history of migraine headache has decided to augment drug therapy with lifestyle changes to prevent migraine attacks.Which information should the nurse include in teaching for this client?
Select all that apply.

Accepted Answer

A) Wearing sunglasses can help reduce the amount of bright light entering the eyes, which can trigger migraines for some people.

B) Certain foods, including pickles, can trigger migraine attacks in some individuals. It is important to identify and avoid triggers.

C) Drinking hot caffeinated beverages may worsen the headache, as caffeine can cause or worsen headaches in some individuals. It is important to avoid caffeine and other triggers.

D) Drinking alcohol, including wine, can trigger migraines in some individuals, so it is important to avoid or limit alcohol intake.

E) Stress can be a trigger for migraines in some individuals, so it is important to learn coping mechanisms and stress reduction techniques to manage and prevent migraines.

Question 7

The client has been prescribed duloxetine (Cymbalta)for the treatment of diabetic neuropathic pain.What information should the nurse provide to this client?
Select all that apply.

Accepted Answer

The answer of The client has been prescribed duloxetine (Cymbalta)for...

Quiz 25: Pharmacotherapy of Severe Pain and Migraines

The nurse and the client have established this goal: The client will verbalize safety considerations for use of tramadol (Ultram) before being dismissed from the hospital." Which client statements would support evaluation that this goal has been achieved? Select all that apply.

The nurse receives a medication order for fentanyl patches (Duragesic) for a new home health client.What should the nurse check before ordering these patches from the pharmacy? Select all that apply.

A client with a history of migraine headache has decided to augment drug therapy with lifestyle changes to prevent migraine attacks.Which information should the nurse include in teaching for this client? Select all that apply.

The client has been prescribed duloxetine (Cymbalta) for the treatment of diabetic neuropathic pain.What information should the nurse provide to this client? Select all that apply.