A nurse is caring for a child who reports migraine headaches for the past 4 months. Which of the following actions should the nurse take first?
Refer the family to a chronic pain support group.
Request a change in medication from the provider.
Review the child's electronic pain diary.
Set up an appointment with the school nurse.
The Correct Answer is C
A. Referring the family to a chronic pain support group may be beneficial but does not address the immediate need to assess the child's current condition and management.
B. Requesting a change in medication from the provider may be necessary but should be based on a thorough assessment, including reviewing the child's pain diary.
C. Reviewing the child's electronic pain diary allows the nurse to gather important information about the frequency, severity, triggers, and effectiveness of current interventions for migraine headaches, guiding further assessment and management.
D. While involving the school nurse may be part of the child's care plan, it does not address the immediate need to assess the child's current condition and management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A: Methylphenidate should be taken preferably 30 to 45 minutes before meals to reduce the risk of stomach upset. Furthermore, food interferes with its absorption.
B: Administering methylphenidate at bedtime is incorrect because it is a stimulant and can interfere with sleep.
C: Avoiding foods containing tyramine is not relevant for methylphenidate; it is more commonly a concern with certain antidepressants such as MAO inhibitors.
D: There is no need to avoid excess sodium intake specifically related to methylphenidate usage; this advice does not pertain to the side effects or interactions of the medication.
Correct Answer is C
Explanation
A. Using up to 40 nicotine lozenges per day is excessive and may lead to nicotine toxicity.
B. Substituting tobacco use with an electronic cigarette is not recommended due to potential health risks associated with vaping.
C. Nicotine replacement therapy, such as nicotine gum, should be used for a limited duration to avoid dependence. The nurse should educate the client to limit the use of nicotine gum to no more than 6 months to achieve smoking cessation goals effectively.
D. Using progressively larger nicotine patches is not a standard practice and may increase the risk of nicotine overdose.
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