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?
Explanation & Rationale
A. "Asthma": Asthma is not a contraindication for sumatriptan. While it is important to monitor for any respiratory issues, sumatriptan is not specifically contraindicated for clients with asthma. However, care should still be taken in individuals with respiratory concerns. B. "Kidney disease": Kidney disease is not an absolute contraindication for sumatriptan, but caution is needed in severe renal impairment. Impaired kidney function can slow the elimination of the drug, potentially leading to increased levels in the bloodstream. C. "Rheumatoid arthritis": Rheumatoid arthritis is not a contraindication for sumatriptan. There is no direct interaction between sumatriptan and rheumatoid arthritis, so this condition does not prevent the safe use of the medication. D. "Coronary artery disease": Sumatriptan is contraindicated in clients with coronary artery disease. This medication can cause vasoconstriction, which may worsen heart conditions and increase the risk of myocardial infarction or ischemia.