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A client is seen in the primary care provider’s office with reports of polydipsia and polyuria...

  1. A client is seen in the primary care provider’s office with reports of polydipsia and polyuria without polyphagia. An assessment notes very edematous ankles and an elevation of blood pressure. These data support which diagnosis associated with the adrenal cortex?
    1. Hyperal dosteronism
    2. Adrenocortical hyperfunction
    3. Androgen-producing tumors
    4. Adrenal hyperplasia
  2. A client has been treated for migraines on an ongoing basis, and the care provider has just prescribed sumatriptan. What statement made by the nurse reflects the priority education intervention for a client prescribed sumatriptan?
    1. “You might get dizzy light-headed after you take sumatriptan, but this is normal.”
    2. “It’s important that you never take acetaminophen within 12 hours of sumatriptan.”
    3. “Make sure that you stop taking ergotamine before you get the prescription filled.”
    4. “You will likely experience a brief worsening of your migraine before this drug relieves the pain.”
  3. The nurse is educating a young adult client diagnosed with migraine headaches about prescribed intranasal sumatriptan for abortive therapy. Which statement made by the client establishes the need for further clarification?
    1. “The onset of the drug is quick and it peaks in 90 minutes, so I will take it before lying down.”
    2. “I will take my blood pressure after taking the drug and notify my prescriber if I become hypertensive.”
    3. “The intranasal spray will cause irritation to my nose and throat and a bad taste in my mouth and nausea.”
    4. “I will alternate the nostril used and administer two sprays in the nostril, and repeat in 2 hours if needed.”
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Answer #1

1aBlood pressure is affected by aldosteronism, with hypertension being the most prominent and universal sign of aldosteronism.

2c.it is important to ask the patient about recent administration ergot alkaloid s. The ergot alkaloids should not be given within 24 hours of the administration of triptans. Signs of low BP should be reported promptly and there is no particular reason to avoid acetaminophen. Triptans do not make symptoms worse before they provide relief.

3a

The patient should take the medicine at the onset of the hesdsche and not wait until it gets worse.

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