Exam 44: Migraine Medications

A primary care NP prescribes sumatriptan for abortive treatment of migraine headaches.The patient returns to the clinic 1 month later to report increased frequency of the headaches.The NP should:

A patient takes rizatriptan (Maxalt)to abort migraine headaches but tells the primary care NP that the headaches have become more frequent since a promotion at work.The NP's initial response should be to:

A patient who has migraine headaches tells the primary care NP that drinking coffee and taking nonsteroidal antiinflammatory drugs (NSAIDs)seems to help with discomfort.The NP should tell the patient that:

A patient who has migraine headaches without an aura reports difficulty treating the migraines in time because they come on so suddenly.The patient has been using over-the-counter NSAIDs.The primary care NP should prescribe:

A patient who has mild to moderate migraine headaches has severe nausea and vomiting with each episode.For the best treatment of this patient,the primary care NP should prescribe:

A patient who experiences migraines characterized by unilateral motor and sensory symptoms tells the primary care NP that despite abortive therapy with a triptan,the frequency of episodes has increased to three or four times each month.The NP should:

A patient who is diagnosed with migraine headaches has a history of cardiovascular disease and hypertension.The NP should prescribe:

A patient comes to the clinic and reports recurrent headaches.The patient has a headache diary,which reveals irritability and food cravings followed the next day by visual disturbances and unilateral right-sided headache,nausea,and photophobia lasting 2 to 3 days.The NP should recognize these symptoms as _____ migraine.

A patient reports frequent headaches to the primary NP.The patient describes the headaches as unilateral and moderate in intensity,accompanied by nausea,vomiting,and photophobia.There is no aura,and the headaches generally last 24 to 48 hours.The NP should:

A patient who has migraine headaches takes sumatriptan as abortive therapy.The patient tells the primary care nurse practitioner (NP)that the sumatriptan is effective for stopping symptoms but that the episodes are occurring three to four times per month.The NP should consider the addition of:

A patient who has migraine headaches usually has two to three severe migraines each month.The patient has been using a triptan nasal spray but reports little relief and is concerned about missing so many days of work.The primary care NP should consider:

A patient comes to the clinic concerned about possible migraine headaches.The primary care NP conducts a history and physical examination,and the patient describes vise-like pressure in the back of the head that occurs almost daily during the work week.The NP should recommend: