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 C

Explanation

Choice A rationale
Nicardipine is a calcium channel blocker used to treat high blood pressure. While it can be used in the management of subarachnoid hemorrhage, it is not primarily used to decrease intracranial pressure.
Choice B rationale

Dopamine is a type of medication used to treat certain conditions such as low blood pressure, heart failure, and Parkinson’s disease. It is not typically used to decrease intracranial pressure in the context of a subarachnoid hemorrhage.
Choice C rationale
Mannitol is a type of medication that is used to decrease intracranial pressure. It works by drawing fluid out of the brain to help reduce swelling.
Choice D rationale
Phenytoin is a medication used to control seizures. While it can be used in the management of subarachnoid hemorrhage, it is not primarily used to decrease intracranial pressure. Migraine Explore

A. A contrecoup injury is not viewed as a “true” injury, while a coup injury can have more severe consequences. B. Contrecoup injuries are generally less severe and heal more quickly over time. C. The coup injury is the primary point of injury, with the contrecoup injury occurring on the brain’s opposite side. D. The coup injury happens secondary to the contrecoup injury but does not impact the brain’s blood supply.

Correct Answer is C

Explanation

Choice A rationale
A contrecoup injury is indeed a “true” injury. It occurs on the side of the brain opposite to the point of impact and can have severe consequences, including brain damage. Therefore, this statement is incorrect.
Choice B rationale
The severity and healing time of contrecoup injuries can vary greatly depending on the force and location of the impact, as well as individual health factors. It’s not accurate to say that contrecoup injuries are generally less severe and heal more quickly over time.
Choice C rationale
This statement is correct. A coup injury refers to the brain damage that occurs directly under the point of impact, while a contrecoup injury occurs on the opposite side of the brain from

where the head is struck. These injuries can occur separately or together, but if the blow is strong enough, they usually appear together.
Choice D rationale
The sequence of coup and contrecoup injuries is not as this choice describes. The coup injury happens at the point of impact, and the contrecoup injury happens when the brain rebounds and hits the opposite side of the skull. Both types of injuries can impact the brain’s blood supply.

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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 admitting a patient with a subarachnoid hemorrhage and expects to administer which of the following medications to decrease intracranial pressure (ICP)?

Correct Answer is C

Explanation

A newly licensed nurse is learning about coup and contrecoup injuries. Which statement by the newly licensed nurse demonstrates a clear understanding of the topic?

Correct Answer is C

Explanation

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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?