A patient tells the nurse that he has a migraine headache which started about an hour ago. The nurse should administer the prescribed analgesic and
suggest the visitors stay a bit longer to provide support and distraction.
suggest the patient ambulates in the hallway to become fatigued, so they can rest.
turn the lights and television off except for a night light.
turn on the television to be used as a distractor for the patient.
The Correct Answer is C
A. Suggest the visitors stay a bit longer to provide support and distraction. – Noise and stimulation can worsen migraines.
B. Suggest the patient ambulates in the hallway to become fatigued, so they can rest. – Movement may increase pain.
C. Turn the lights and television off except for a night light. – Correct Answer. Migraines are worsened by light and noise, so a dark and quiet environment is best.
D. Turn on the television to be used as a distractor for the patient. – Bright lights and sound can aggravate symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. A platelet count <20,000/μL increases bleeding risk. Checking for occult blood helps detect hidden gastrointestinal bleeding.
B. Incorrect. Hydration is important but does not directly address thrombocytopenia management.
C. Incorrect. While oral hygiene is important, frequent brushing could cause bleeding with low platelets.
D. Incorrect. Monitoring temperature is important for infection risk but does not address bleeding concerns.
Correct Answer is B
Explanation
A. Labeling the mother as "overprotective" is dismissive and non-therapeutic.
B. This response uses therapeutic communication to explore the mother’s concerns without judgment, allowing for education and support.
C. Suggesting home-schooling may reinforce unnecessary restrictions and does not address the concern.
D. Agreeing outright does not help the mother understand that physical activity can be managed safely.
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