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Practice Question

A nurse is educating a client on topiramate for migraine prevention. Which statement by the nurse is appropriate?

Answer Choices:

Correct Answer:

"Avoid this medication if you have an allergy to a sulfa drug."

Rationale:

💊Topiramate has a sulfa moiety, and clients allergic to sulfa drugs may experience serious hypersensitivity reactions.

🚫It is contraindicated in those with sulfa allergies to prevent potential life-threatening effects like anaphylaxis or severe rash.

💁‍♂️It's also not safe during pregnancy, but the most direct and immediate precaution is allergy screening.

📉Topiramate is not typically linked to blood pressure, so BP checks are unnecessary before each dose.

📌Core Message

Topiramate must be avoided in clients with sulfa drug allergies due to risk of hypersensitivity.

Want to practice more questions like this?

This question is from NCLEX RN-Readiness Assessment Test-1 which contains 104 questions.

More Questions from This Exam
A nurse is talking with a client about bowel elimination. Which of the following statements by the client would be essential to follow up?

Answer Choices:

A. "l use laxatives when I have constipation."
B. "l have a bowel movement every 3 to 4 days."
C. "l had an enema to remove a fecal impaction once."
D. "l sit on the toilet from 10:00 to 10:15 almost every morning."
A nurse in the pediatric unit finds a client to have fallen on the floor. Which of the following actions should the nurse take first?

Answer Choices:

A. Call for help.
B. Move the client to a safe location.
C. Review the client's medical record.
D. Assess the client for injuries.
A nurse in the medical-surgical unit is caring for a 59-year-old client.

Answer Choices:

A. Appetite
B. Vital signs
C. Weakness
D. Chest pain
E. Weight loss
F. History of smoking
G. Long-standing cough
A nurse in the medical-surgical unit is caring for a 59-year-old client.

Answer Choices:

A. Hyperkalemia
B. Pleural effusion
C. Pheochromocytoma
D. Spinal cord compression
E. Dissecting aortic aneurysm
F. Superior vena-cava syndrome
From Exam
NCLEX RN-Readiness Assessment Test-1

104 Questions

View Full Exam
Question Details
  • Category: NCLEX RN
  • Subcategory: NCLEX RN- Readiness Assessment Tests
  • Domain: NCLEX RN- (Readiness Assessment Test)
  • Answer Choices: 4
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