The nurse is providing care to a patient with a migraine headache. What action should the nurse take?
Provide a dark quiet environment
Eliminate all caffeine from the patient's diet
Monitor for cognitive impairment
Medicate with opioids
The Correct Answer is A
A. Providing a dark, quiet environment is an appropriate intervention for a client with a migraine headache. Migraines are often aggravated by bright lights and loud noises, so creating a calm, low-stimulation environment can help alleviate symptoms.
B. While caffeine can be a trigger for some individuals with migraines, it is not necessary to eliminate all caffeine. In fact, caffeine is sometimes included in medications for migraines to enhance their effectiveness.
C. Cognitive impairment is not a typical concern for migraines unless the headache is severe or prolonged. Monitoring for cognitive impairment would not be the primary action in this scenario.
D. Opioids are not recommended for the treatment of migraines due to their potential for abuse and side effects. NSAIDs, triptans, and other specific migraine treatments are preferred.
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Related Questions
Correct Answer is A
Explanation
A. A concussion is considered a mild traumatic brain injury (TBI) that typically results in a temporary loss of brain function. It is often caused by a blow to the head and may result in confusion, dizziness, and loss of consciousness. However, if concussions occur repeatedly, they can lead to long-term cognitive impairment and other serious conditions like chronic traumatic encephalopathy (CTE).
B. A brainstem contusion is a more severe injury that affects the brainstem, which controls vital functions like breathing and heart rate. It is not classified as a mild injury.
C. A subdural hematoma is a collection of blood between the brain and its outermost covering. It is a serious condition that can result from a traumatic brain injury and is not considered mild.
D. An epidural hematoma is a collection of blood between the skull and the dura mater. It is often caused by a traumatic head injury and is considered a medical emergency, not a mild injury.
Correct Answer is ["A","B","E"]
Explanation
A. Vasoconstrictors (Imitrex), such as sumatriptan, are commonly used to treat the headache stage of a migraine by constricting blood vessels, which helps alleviate the pain.
B. A dark, quiet environment is beneficial for migraine sufferers as bright lights and loud noises can exacerbate symptoms. Resting in a calm environment can help reduce discomfort.
C. While teaching relaxation is helpful for migraine prevention, it may not be effective in the acute phase of the headache. Relaxation techniques are more useful in managing triggers and reducing frequency.
D. Exercise is generally not recommended during the headache stage of a migraine, as it can worsen the pain. Light activity may help during the prodromal phase, but not during the headache itself.
E. Analgesics (NSAIDs) such as ibuprofen or naproxen are often used to relieve the pain during the headache stage of a migraine. They can help reduce inflammation and discomfort.
F. Teaching stress reduction is beneficial for preventing migraines but is not typically helpful during the headache stage itself. Stress management is more useful in the long term.
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