Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
For which client with severe migraine headaches would the nurse question an order for sumatriptan?
A. A 58-year-old client with gastrointestinal reflux disease
Gastrointestinal reflux disease is not typically a contraindication for sumatriptan.
B. A 65-year-old client with mild emphysema
Mild emphysema is not typically a contraindication for sumatriptan.
C. A 72-year-old client with hyperthyroidism
Hyperthyroidism is not typically a contraindication for sumatriptan.
D. A 48-year-old client with hypertension
Sumatriptan, a medication used for migraines, may elevate blood pressure, so it would be questionable for a client with hypertension.
This question is an excerpt from Nurse Dive's nursing test bank - Interprofessional Care of the Client and Family Across the Lifespan II Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale: Gastrointestinal reflux disease is not typically a contraindication for sumatriptan.
Choice B rationale: Mild emphysema is not typically a contraindication for sumatriptan.
Choice C rationale: Hyperthyroidism is not typically a contraindication for sumatriptan.
Choice D rationale: Sumatriptan, a medication used for migraines, may elevate blood pressure, so it would be questionable for a client with hypertension.
Similar Questions
What change indicates recovery in a patient with nephrotic syndrome?
A. Increase in serum lipid levels.
An increase in serum lipid levels is associated with nephrotic syndrome, not recovery.
B. Decrease in blood pressure to normal.
A decrease in blood pressure to normal might be beneficial but is not a definitive indicator of recovery from nephrotic syndrome.
C. Gain in body weight.
Gain in body weight can occur due to fluid retention, which is a symptom of nephrotic syndrome, and doesn't indicate recovery.
D. Disappearance of protein from the urine.
The disappearance of protein from the urine is a sign of recovery in nephrotic syndrome.
Full Explanation
Choice A rationale: An increase in serum lipid levels is associated with nephrotic syndrome, not recovery.
Choice B rationale: A decrease in blood pressure to normal might be beneficial but is not a definitive indicator of recovery from nephrotic syndrome.
Choice C rationale: Gain in body weight can occur due to fluid retention, which is a symptom of nephrotic syndrome, and doesn't indicate recovery.
Choice D rationale: The disappearance of protein from the urine is a sign of recovery in nephrotic syndrome.
The nurse is performing an assessment of a client with possible plantar fasciitis in the right foot. What assessment finding would the nurse expect in the right foot?
A. Severe pain in the arch of the foot
Plantar fasciitis typically presents with severe pain in the arch of the foot, especially during the first steps in the morning or after prolonged periods of rest.
B. Multiple toe deformities
Multiple toe deformities are not typically associated with plantar fasciitis.
C. Redness and severe swelling
Redness and severe swelling are not typical findings in plantar fasciitis.
D. Numbness and paresthesia
Numbness and paresthesia are not common findings in plantar fasciitis.
Full Explanation
Choice A rationale: Plantar fasciitis typically presents with severe pain in the arch of the foot, especially during the first steps in the morning or after prolonged periods of rest.
Choice B rationale: Multiple toe deformities are not typically associated with plantar fasciitis.
Choice C rationale: Redness and severe swelling are not typical findings in plantar fasciitis.
Choice D rationale: Numbness and paresthesia are not common findings in plantar fasciitis.
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The nurse is caring for a client who is due for a laparoscopic fundoplication. On reviewing the medical history, the nurse notes the client complains of dysphagia, substernal burning, and belching.
The endoscopy and barium test reports are yet to be received. Which condition can the nurse expect in the client?
A. Gastritis
Dysphagia, substernal burning, and belching are symptoms often associated with hiatal hernia.
B. Stomach cancer
While substernal burning can be a symptom of stomach-related issues, hiatal hernia is more directly linked to the symptoms described.
C. Schatzki ring
Schatzki ring might present with dysphagia, but it's less likely given the overall symptoms described.
D. Hiatal hernia
Symptoms of dysphagia and substernal burning can be indicative of a hiatal hernia, especially when considered together.
Full Explanation
Choice A rationale: Dysphagia, substernal burning, and belching are symptoms often associated with hiatal hernia.
Choice B rationale: While substernal burning can be a symptom of stomach-related issues, hiatal hernia is more directly linked to the symptoms described.
Choice C rationale: Schatzki ring might present with dysphagia, but it's less likely given the overall symptoms described.
Choice D rationale: Symptoms of dysphagia and substernal burning can be indicative of a hiatal hernia, especially when considered together.