The nurse is educating a group of people newly diagnosed with migraine headaches. What information should the nurse include in the educational session?

Exercise in a dark room.

Sleep no more than 5 hours at a time.

Use St. John's Wort.

Keep a food diary.

Maintain a headache diary.

Answer and Explanation

Correct Answer : D,E

Choice A rationale

Exercise is important but should be done in a well-lit, comfortable environment. Exercising in a dark room is not specifically beneficial for migraine management and may not address trigger factors effectively.

Choice B rationale

Adequate sleep is crucial for migraine management. Advising to sleep no more than 5 hours at a time is incorrect; sufficient rest is necessary to prevent migraines.

Choice C rationale

St. John's Wort is commonly used for depression and anxiety but has no proven efficacy for migraine management. It may also interact with other medications.

Choice D rationale

Keeping a food diary helps identify dietary triggers that can lead to migraines. Tracking food intake can reveal patterns and specific triggers to avoid.

Choice E rationale

Maintaining a headache diary is important for tracking migraine frequency, duration, and potential triggers. It helps in managing and understanding the condition better.

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Correct Answer is A

Explanation

Choice A rationale

The nurse should check the equipment first when an ICP reading of 0 mm Hg is noted, as this may indicate equipment malfunction. An accurate ICP reading is critical for assessing and managing intracranial pressure to ensure the client's safety.

Choice B rationale

Continuing the assessment without checking the equipment may lead to incorrect conclusions based on a potentially faulty reading. It’s crucial to ensure the accuracy of the equipment before proceeding.

Choice C rationale

Documenting the reading as an effective treatment outcome without verifying its accuracy can be dangerous. An ICP reading of 0 mm Hg is unusual and warrants equipment verification.

Choice D rationale

Contacting the health care provider to review the care plan is premature until the equipment has been checked to rule out a false reading, ensuring the nurse provides accurate information.

A. The CPP is within normal limits. B. The CPP is low. C. The CPP reading is inaccurate. D. The CPP is high.

Correct Answer is B

Explanation

Choice A rationale

A CPP within normal limits ranges from 60 to 80 mm Hg, so a value of 40 mm Hg is not within this range.

Choice B rationale

A CPP of 40 mm Hg is considered low and indicates inadequate cerebral blood flow, which can result in brain ischemia and damage.

Choice C rationale

The reading of 40 mm Hg is considered accurate, as it reflects the current CPP of the client.

Choice D rationale

A CPP of 40 mm Hg is not high but low, indicating compromised cerebral perfusion.

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The nurse is educating a group of people newly diagnosed with migraine headaches. What information should the nurse include in the educational session?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When performing a postoperative assessment on a client who has undergone surgery to manage increased intracranial pressure (ICP), a nurse notes an ICP reading of 0 mm Hg. Which action should the nurse perform first?

Correct Answer is A

Explanation

A client with increased intracranial pressure has a cerebral perfusion pressure (CPP) of 40 mm Hg. How should the nurse interpret the CPP value?

Correct Answer is B

Explanation

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