When a client is in the headache stage of a migraine headache, which of the following may help the person cope with this stage? Select all that apply.
Vasoconstrictors (Imitrex)
Dark, quiet environment
Teach relaxation
Exercise
Analgesics (NSAIDs)
Teach stress reduction
Correct Answer : A,B,E
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Delirium is an acute, temporary state of confusion, often caused by factors such as dehydration, infection, or metabolic disturbances. In this case, the elderly client’s confusion following vomiting and not eating or drinking for 2 days suggests that dehydration or an underlying illness is likely causing the delirium.
B. Alzheimer's disease is a progressive, degenerative condition that leads to chronic memory loss and cognitive decline. It does not typically cause sudden confusion, as seen in this case.
C. Huntington's disease is a genetic neurodegenerative disorder that causes motor dysfunction and cognitive decline. It does not present suddenly with confusion in an elderly client.
D. Parkinson's disease is a progressive neurological disorder that primarily affects motor function, causing tremors, rigidity, and bradykinesia. It does not typically present with sudden confusion or the symptoms described in this case.
Correct Answer is A
Explanation
A. Kernig's sign is positive when there is pain and resistance to extending the leg at the knee when the hip is flexed, and Brudzinski's sign is positive when the client involuntarily flexes their knees and hips when the neck is flexed. These are both signs of meningeal irritation, which is characteristic of meningitis.
B. The patellar reflex is a deep tendon reflex that assesses the function of the L2-L4 spinal nerves. It is not specific to meningitis and would not be a primary indicator.
C. The pupillary reflex assesses the response of the pupils to light and is not specific to meningitis. It can be affected by various neurological conditions, but it is not a primary sign of meningitis.
D. Blumberg's sign is associated with peritonitis and indicates rebound tenderness in the abdomen. It is not related to meningitis, which affects the central nervous system rather than the abdominal cavity.
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