A patient with a history of migraines comes into the clinic reporting “tingling of the face and blind spots in the eyes.”. Which of the following phases of a migraine is the patient experiencing?

Aura

Postdrome

Prodrome

Headache

Answer and Explanation

The Correct Answer is A

Choice A rationale
The aura phase is characterized by sensory, motor, or visual disturbances that occur before the headache phase of a migraine. Symptoms such as tingling of the face and blind spots in the eyes are common during this phase.

Choice B rationale
The postdrome phase, also known as the “migraine hangover,” occurs after the headache phase. It does not typically include symptoms such as tingling of the face or blind spots in the eyes.
Choice C rationale
The prodrome phase, also known as the pre-headache phase, can occur hours to days before the headache phase. It can include symptoms such as mood changes, food cravings, and neck stiffness, but not typically tingling of the face or blind spots in the eyes.
Choice D rationale
The headache phase is the period during a migraine when the actual headache occurs. It is not typically associated with symptoms such as tingling of the face or blind spots in the eyes.

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Correct Answer is D

Explanation

Choice A rationale
Monitoring volume status is important in managing increased ICP, but it is not a direct intervention to reduce ICP78.
Choice B rationale

Ensuring proper ventriculostomy transducer levels is important in monitoring ICP, but it is not a direct intervention to reduce ICP78.
Choice C rationale
Managing sedation can help control agitation and excessive muscular activity, which can potentially increase ICP. However, it is not a direct intervention to reduce ICP78.
Choice D rationale
Elevating the head of the bed 15 degrees can help promote venous drainage, enhance cerebral perfusion, and reduce ICP78.

A. Vision loss and depression B. Seizures and weakness in the extremities C. Persistent headache and aggressive behavior D. Headache and confusion

Correct Answer is D

Explanation

Choice A rationale
Vision loss and depression are not typically symptoms of a mild traumatic brain injury (TBI). Vision loss could be a symptom of a more severe TBI or other neurological conditions.
Depression, while it can occur following a TBI, is not a direct symptom of the injury itself but rather a common psychological reaction to the changes and challenges that a person may face following the injury.
Choice B rationale

Seizures and weakness in the extremities can be symptoms of a TBI, but they are more commonly associated with moderate to severe TBIs. Mild TBIs do not typically cause seizures or weakness in the extremities.
Choice C rationale
Persistent headache can be a symptom of a mild TBI. However, aggressive behavior, while it can occur following a TBI, is not a direct symptom of the injury itself but rather a possible psychological reaction to the changes and challenges that a person may face following the injury.
Choice D rationale
Headache and confusion are common symptoms of a mild TBI. After a mild TBI, individuals may experience a headache or a feeling of pressure in the head. They may also experience confusion or feel as if in a fog.

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A patient with a history of migraines comes into the clinic reporting “tingling of the face and blind spots in the eyes.”. Which of the following phases of a migraine is the patient experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has increased intracranial pressure. Which of the following interventions should the nurse plan to include in the plan of care?

Correct Answer is D

Explanation

A nurse is caring for a client who had a traumatic brain injury (TBI). What symptoms indicate a mild TBI?

Correct Answer is D

Explanation

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