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

Answer and Explanation

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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Correct Answer is A

Explanation

A. Bowel or bladder incontinence is a medical emergency and should be immediately reported. This symptom can indicate cauda equina syndrome, a condition caused by compression of the spinal nerves at the lower end of the spinal cord. This requires urgent surgical intervention to prevent permanent nerve damage.

B. Lower back pain is a common symptom of a herniated lumbar disk, but it is not an immediate emergency unless accompanied by other severe symptoms.

C. Muscle spasms are also common with a herniated disk and, while uncomfortable, are not immediately life-threatening.

D. Pain radiating down one leg (sciatica) is a typical symptom of a herniated lumbar disk and is often managed conservatively, unless it is severe or accompanied by other neurological deficits.

A. Limit the client's physical activity. B. Provide the client a cane. C. Offer the client 3 large meals a day. D. Speak loudly to the client.

Correct Answer is B

Explanation

A. Limiting the client's physical activity is not recommended for clients with Parkinson's disease. Physical activity, including exercises to improve strength, balance, and flexibility, is essential to manage symptoms and maintain mobility.

B. Providing the client a cane is appropriate. A cane can help with balance and stability, especially as the client experiences motor symptoms such as rigidity and bradykinesia. It can reduce the risk of falls.

C. Offering the client 3 large meals a day is not ideal. Smaller, more frequent meals are recommended for clients with Parkinson's disease, as they may experience difficulty swallowing, digestion issues, or a reduced appetite.

D. Speaking loudly to the client is not necessary unless the client has difficulty hearing. It is more important to speak clearly and at a normal volume, as clients with Parkinson's disease may have issues with speech (e.g., soft or slurred speech).

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The nurse is providing care to a patient with a migraine headache. What action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is B

Explanation

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