The nurse is assessing a female client who is pregnant and reports taking naproxen (Naprosyn) for migraine headaches. Which of the following actions should the nurse take?

Encourage the client to take the medication with food

Instruct the client to try acetaminophen, aspirin or caffeine compounds instead.

Instruct the client to stop taking the medication and speak with the health care provider.

Tell the client she may need to increase the dose while pregnant.

Answer and Explanation

The Correct Answer is C

A. Taking naproxen with food can reduce gastrointestinal upset, but this does not address its potential harm during pregnancy.
B. Acetaminophen is generally considered safe during pregnancy, but aspirin and caffeine compounds may carry risks and should not be recommended without provider guidance.
C. Instruct the client to stop taking the medication and speak with the health care provider is correct. Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that is generally not recommended during pregnancy, especially in the third trimester, due to potential risks such as premature closure of the ductus arteriosus and impaired fetal renal function. The client should stop taking the medication and consult with the provider for safer alternatives.
D. Increasing the dose of a potentially harmful medication during pregnancy is inappropriate and could increase risk to the fetus.

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Correct Answer is A

Explanation

A. Look directly at the person you are talking to helps enhance communication by using facial expressions and visual cues, which can compensate for the soft, monotone, or slurred speech often seen in clients with Parkinson’s disease.
B. Stopping to take a breath after each word would make speech more fragmented and harder to follow. It is not a recommended strategy.
C. A hearing aid would help the listener if they had hearing loss, but it does not assist the client with Parkinson’s who is having difficulty speaking, not hearing.
D. Speaking louder may help, but speaking faster is counterproductive. Clients with Parkinson’s often benefit from slower, more deliberate speech and may work with a speech therapist to use strategies like the Lee Silverman Voice Treatment (LSVT), which focuses on increasing vocal loudness—not speed.

A. Provide a quiet, dark environment. B. Apply heat to area for a migraine headache. C. Administer prescribed analgesics. D. Offer a massage for a tension headache. E. Keep the head of the client's bed flat. F. Offer prescribed antiemetic medication.

Correct Answer is ["A","C","D","F"]

Explanation

A. A quiet, dark environment is often helpful for clients with headaches, especially migraines. Bright lights and loud noises can exacerbate symptoms, so minimizing environmental stimuli can help the client rest and reduce discomfort.
B. Heat is typically not recommended for migraine headaches, as it can sometimes worsen the pain. For migraines, cold compresses or ice packs on the forehead may provide more relief. Heat is generally more effective for tension headaches or muscle-related pain.
C. Analgesics such as over-the-counter pain relievers (e.g., acetaminophen, ibuprofen) or prescribed medications can help manage headache pain and are often part of the treatment plan for headaches.
D. A gentle massage can help relieve the muscle tension that often contributes to tension headaches. Massaging the neck, shoulders, and scalp may help reduce headache symptoms.
E. Keeping the head of the bed flat is not generally recommended for headache relief. In fact, elevating the head of the bed slightly may help relieve pressure and improve comfort, especially in cases of sinus headaches or headaches related to congestion.
F. Many clients with headaches, especially migraines, may experience nausea or vomiting. Administering prescribed antiemetic medications can help alleviate these symptoms and improve the client’s comfort.

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The nurse is assessing a female client who is pregnant and reports taking naproxen (Naprosyn) for migraine headaches. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with Parkinson's disease who has difficulty speaking. Which of the following instructions should the nurse provide to the client.

Correct Answer is A

Explanation

The nurse is planning care for a client experiencing headaches. Which of the following interventions should the nurse include in the client's plan of care? Select all that apply.

Correct Answer is ["A","C","D","F"]

Explanation

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