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Practice Question

A nurse in an outpatient clinic is caring for a client.

Answer Choices:

Correct Answer:

"This medication should start to alleviate the headache within 1 hour."

Rationale:

✔️ A. "This medication should start to alleviate the headache within 1 hour.":

Migraine-specific medications like triptans (e.g., sumatriptan) are expected to start relieving migraine pain within 30 minutes to 1 hour when taken early during an attack.

✔️ B. "You might experience a feeling of pressure in your chest after taking this medication.":

A common side effect of triptans is chest pressure, tightness, or heaviness, often related to vasoconstriction. Although usually benign, severe chest pain should be reported immediately.

✔️ D. "You can take a second dose of this medication at least 2 hours after the initial dose if the headache persists.":

For medications like sumatriptan, clients are generally allowed to repeat the dose after 2 hours if symptoms persist, but the maximum daily dose must not be exceeded.

✔️ E. "You should discontinue this medication if pregnancy is planned or suspected.":

Triptans are classified as pregnancy risk category C, meaning they should be avoided during pregnancy unless the benefits clearly outweigh the risks. Women planning pregnancy should stop use.

✔️ F. "This medication can cause you to feel tired.":

Fatigue and drowsiness are common side effects reported after taking migraine-specific medications like triptans, and clients should be cautioned about activities requiring alertness.

✔️ G. "You might experience a rash on your skin while taking this medication.":

Although rare, hypersensitivity reactions such as rash can occur with triptan use and should be reported to the provider.

Educational Insight:

According to migraine treatment guidelines (American Headache Society), triptans are first-line agents for acute migraine treatment but require careful client education about timing of doses, potential side effects, and special precautions related to cardiovascular and pregnancy risks.

Incorrect Option:

C. "Do not take more than 200 milligrams of this medication within 24 hours.

This statement is incorrect because the maximum daily dose varies depending on the specific triptan prescribed (for example, sumatriptan’s maximum is typically 200 mg/day, but this limit is not universal for all triptans). The prescription must be specific, and generalizing "200 mg" could be inaccurate without confirmation.

Want to practice more questions like this?

This question is from ATI LPN Pharmacology 2023 (I) which contains 59 questions.

More Questions from This Exam
A nurse in a provider's office is assisting in the care of a client. 

Answer Choices:

A. Lie down with feet elevated if dizziness occurs while taking this medication.
B. Apply the patch daily to a hairless area of the skin.
C. The medication will be effective 30 to 45 min following application.
D. Remove the patch 12 to 14 hr following application.
E. Remove the patch if you experience a headache.
F. Place the patch on the same area every day.
From Exam
ATI LPN Pharmacology 2023 (I)

59 Questions

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Question Details
  • Category: LPN - Nursing Exam(s)
  • Subcategory: ATI Exams
  • Domain: PHARMACOLOGY PN
  • Answer Choices: 7
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