Final answer:
Selective serotonin agonists for migraines might be contraindicated in patients with uncontrolled hypertension, angina, or a history of transient ischemic attacks due to their vasoconstrictive effects. Diabetes and hyperlipidemia are not direct contraindications but should be managed in conjunction with migraine treatment. A) Diabetes and D) Hyperlipidemia.
Step-by-step explanation:
The nurse would question an order for a selective serotonin agonist as a treatment for a migraine headache for a client with certain conditions that could be adversely affected by such treatment. Selective serotonin agonists are a type of medication that can relieve migraines by constraining blood vessels in the brain. However, they may not be safe for everyone. Conditions that warrant questioning this type of medication include:
- Uncontrolled hypertension (B) - These medications can cause vasoconstriction and lead to increased blood pressure, which could be dangerous if already high.
- Angina (C) - Since selective serotonin agonists constrict blood vessels, they may exacerbate angina by reducing the blood flow to the heart muscle.
- Transient ischemic attacks (E) - Someone who has had transient ischemic attacks could be at higher risk for strokes with these medications due to their effects on blood circulation.
Conditions such as diabetes (A) and hyperlipidemia (D) do not necessarily warrant a direct contraindication for the use of these drugs in treating migraines but should be managed alongside migraine treatment. Nonetheless, it's always important for healthcare providers to consider all aspects of a patient's health when prescribing medication.