An Adolescent Female Reports Unilateral Headache Pain Associated with Abdominal

An adolescent female reports unilateral headache pain associated with abdominal pain and nausea occurring just prior to periods each month. The adolescent has been using naproxen sodium for 6 months but reports little relief from symptoms. What will the primary care pediatric nurse practitioner do?

A) Add acetaminophen and ondansetron to the naproxen regimen.
B) Consider prophylactic therapy with a beta-blocker or anticonvulsant drug.
C) Prescribe sumatriptan nasal spray at the onset of headache and every 2 hours.
D) Refer the adolescent to a pediatric neurologist for neuroimaging studies.