A client with a history of migraines comes to a clinic with a throbbing headache. What Questions should the nurse include in the assessment?

“Have you experienced any nausea or vomiting with your headache?”

“Are the lights in here bothering you?”

“Have you noticed any confusion or clouded thinking?”

“Have you smelled anything unusual or are you currently smelling anything strange?”

“Did you feel weak before the headache started or are you feeling weak now?”

Answer and Explanation

The Correct Answer is A

Choice A rationale
Nausea and vomiting are common symptoms associated with migraines. Asking about these symptoms can help confirm a diagnosis of a migraine.
Choice B rationale
Sensitivity to light, also known as photophobia, is a common symptom of migraines. However, the question “Are the lights in here bothering you?” is less specific to migraines as it could be indicative of several other conditions as well.
Choice C rationale
While confusion or clouded thinking can occur with migraines, it is not as common as other symptoms such as nausea, vomiting, and sensitivity to light.
Choice D rationale
Unusual smells, known as olfactory hallucinations, are not typically associated with migraines. They are more commonly associated with conditions such as epilepsy.
Choice E rationale
Weakness before the headache started or currently feeling weak now is not a typical symptom of migraines. It could be indicative of a more serious condition, such as a stroke.

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Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A rationale
Climbing ladders can be dangerous for individuals with epilepsy due to the risk of falling during a seizure.
Choice B rationale
Swimming alone can be hazardous for individuals with epilepsy due to the risk of drowning during a seizure.
Choice C rationale
Driving restrictions are often in place for individuals with epilepsy, and they should not drive unless they have been seizure-free for a specified period of time, often determined by local laws.
Choice D rationale
Using power tools can be dangerous for individuals with epilepsy due to the risk of injury during a seizure.
Choice E rationale

Laying the client on the floor during a seizure can help prevent injury. However, positioning the client on their back while they recover from a seizure is not recommended as it can increase the risk of aspiration.
Choice F rationale
Positioning the client on their back while they recover from a seizure is not recommended as it can increase the risk of aspiration.

A. Computerized Tomography Angiography (CTA) B. Transesophageal Echocardiogram (TEE) C. Complete Blood Count (CBC) D. Prothrombin Time (PT) .

Correct Answer is A

Explanation

Choice A rationale
A Computerized Tomography Angiography (CTA) scan is often used to diagnose a Transient Ischemic Attack (TIA). This imaging test can provide detailed images of blood vessels in the brain and neck, allowing healthcare providers to identify blockages or other abnormalities that could have caused the TIA12.
Choice B rationale
A Transesophageal Echocardiogram (TEE) is a type of echocardiogram that uses a probe passed down the esophagus to obtain detailed images of the heart. While it can be useful in diagnosing certain heart conditions, it is not typically the first-line diagnostic test for a TIA12.
Choice C rationale
A Complete Blood Count (CBC) is a blood test that measures different components of the blood, including red and white blood cells and platelets. While it can provide useful information about a person’s overall health, it is not typically used to diagnose a TIA12.
Choice D rationale
Prothrombin Time (PT) is a blood test that measures how long it takes for your blood to clot. While it can provide information about clotting disorders, it is not typically used to diagnose a

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A client with a history of migraines comes to a clinic with a throbbing headache. What Questions should the nurse include in the assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is giving discharge instructions to a client with epilepsy. What should be included in the nurse’s instructions?

Correct Answer is ["A","B","C","D","E"]

Explanation

A nurse is providing care for a patient in the emergency department who has been preliminarily diagnosed with a transient ischemic attack (TIA). Which diagnostic test should the nurse expect the healthcare provider to order?

Correct Answer is A

Explanation

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