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A nurse is reviewing the health history of a client who experiences migraine headaches and has asked about a prescription for sumatriptan.

 

Which of the following conditions should the nurse identify as a contraindication for taking sumatriptan?

A.

Asthma.

B.

Kidney disease.

C.

Rheumatoid arthritis.

D.

Coronary artery disease.

Answer and Explanation

The Correct Answer is D

Choice A rationale

 

Asthma is not a contraindication for sumatriptan. Sumatriptan is a selective serotonin receptor agonist used to treat migraines by constricting blood vessels in the brain. It does not have a significant impact on respiratory conditions like asthma.

 

Choice B rationale

 

Kidney disease is not a contraindication for sumatriptan. However, caution is advised when using sumatriptan in patients with severe renal impairment due to potential accumulation of the drug and its metabolites.

 

Choice C rationale

 

Rheumatoid arthritis is not a contraindication for sumatriptan. Sumatriptan’s mechanism of action does not interfere with the inflammatory processes involved in rheumatoid arthritis.

 

Choice D rationale

 

Coronary artery disease (CAD) is a contraindication for sumatriptan. Sumatriptan can cause vasoconstriction of coronary arteries, which can exacerbate CAD and increase the risk of myocardial infarction or other cardiac events.


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View Related questions

Correct Answer is ["C","E"]

Explanation

Choice A rationale

Glucose levels are not typically monitored for patients receiving gentamicin.

Choice B rationale

Prothrombin time is not typically monitored for patients receiving gentamicin.

Choice C rationale

Serum creatinine should be monitored because gentamicin can cause nephrotoxicity, and elevated serum creatinine levels can indicate kidney damage.

Choice D rationale

Cardiac enzymes are not typically monitored for patients receiving gentamicin.

Choice E rationale

WBC count should be monitored because gentamicin can cause leukopenia or other changes in white blood cell counts.

Correct Answer is D

Explanation

Choice A rationale

Sucralfate should be taken on an empty stomach, not with meals, to ensure it coats the ulcer effectively.

Choice B rationale

There is no need to reduce dietary fiber while taking sucralfate. Fiber intake does not interfere with the medication’s effectiveness.

Choice C rationale

Antacids should not be taken within 30 minutes before or after taking sucralfate, as they can interfere with its action.

Choice D rationale

Increasing fluid intake is recommended while taking sucralfate to help prevent constipation, a common side effect of the medication.

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