The nurse is caring for a client who experiences migraines and reports seeing light flashes. The nurse should recognize this information as which of the following phases of a migraine?

Postdrome

Premonitory

Headache

Aura

Answer and Explanation

The Correct Answer is D

A. The postdrome phase occurs after the headache subsides. During this phase, the client may experience fatigue, mood changes, or mild head discomfort, but it does not include visual disturbances like light flashes.
B. The premonitory phase refers to early warning signs that occur before the onset of the migraine headache, such as fatigue, irritability, or neck stiffness, but not typically visual disturbances like light flashes.
C. The headache phase is when the migraine pain is most severe. The client’s description of seeing light flashes occurs before the pain phase, so this would not be considered the headache phase.
D. The aura phase is characterized by neurological symptoms that occur just before or during the onset of a migraine, and it can include visual disturbances such as light flashes, blind spots, or zigzag lines. This phase can last from a few minutes to an hour and usually precedes the headache phase.

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Correct Answer is A

Explanation

A. Fosphenytoin (Cerebyx) is correct to question as an initial treatment in status epilepticus. While fosphenytoin is used to prevent further seizures once initial control is achieved, it does not act quickly enough to stop active seizures. Therefore, it is not the first-line medication during the acute phase and should be questioned if ordered as the initial intervention.
B. Lorazepam is a benzodiazepine and is one of the first-line treatments for status epilepticus due to its rapid onset of action.
C. Phenobarbital can be used if benzodiazepines and phenytoin/fosphenytoin fail to control seizures, making it an appropriate option in refractory cases.
D. Diazepam is also a benzodiazepine effective for the acute management of status epilepticus, typically administered intravenously or rectally for rapid effect.

Correct Answer is ["0.5"]

Explanation

First, determine how many milligrams are in 1 mL. We can do this by dividing the total milligrams by the total milliliters: 24 mg ÷ 2 mL = 12 mg/mL

Now we know that each milliliter of the solution contains 12 mg of sumatriptan.

To find the volume needed for a 6 mg dose, we need to figure out how many times 12 mg goes into 6 mg: 6 mg ÷ 12 mg/mL = 0.5 mL

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The nurse is caring for a client who experiences migraines and reports seeing light flashes. The nurse should recognize this information as which of the following phases of a migraine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering prescribed medication to a client experiencing status epilepticus. Which of the following medications should the nurse question?

Correct Answer is A

Explanation

The nurse is preparing to administer prescribed sumatriptan (Imitrex) 6 mg per injection for a client reporting a severe migraine. The nurse has available sumatriptan (Imitrex) 24 mg in 2 ml. How many mL should the nurse administer with each dose? Do not round your answer. Enter numeric value only.

Correct Answer is ["0.5"]

Explanation

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