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 C
Explanation
A. Leave the television on as a distraction – Noise and distractions can increase anxiety and confusion in some patients.
B. Limit patient physical activity – Regular exercise is essential to maintain mobility and prevent muscle atrophy.
C. Provide patient supervision – Clients with Parkinson’s disease are at high risk for falls due to muscle rigidity and balance difficulties. Supervision ensures safety and helps prevent injuries.
D. Speak loudly to the patient – Parkinson’s does not typically cause hearing loss. Speaking clearly and slowly is more effective than speaking loudly.
Correct Answer is A
Explanation
A. Proper hand hygiene disrupts the transmission of pathogens and is the primary infection control strategy.
B. A high-protein diet helps with recovery but does not directly prevent transmission.
C. While hygiene is important, daily linen changes are not the primary preventive measure.
D. Restricting visitors is only necessary for highly contagious infections.
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