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. Keep familiar personal items in the client's room is an effective strategy to help reduce confusion in clients with Alzheimer's disease. Familiar items can provide comfort and a sense of security, which can help orient the client and reduce agitation.
B. Hang abstract pictures on the walls is not recommended for clients with Alzheimer's disease, as abstract art may be confusing or difficult for them to interpret. Instead, simple and familiar images are more beneficial for orientation.
C. Encourage bright lighting in the room may cause discomfort or confusion for some individuals with Alzheimer's disease, especially if they are sensitive to light. Soft, ambient lighting is often more calming.
D. Keep the television on at all times may be overstimulating and contribute to confusion. It is better to create a calm and quiet environment to help the client focus and reduce agitation.
Correct Answer is D
Explanation
A. Neutropenic precautions are used for clients with compromised immune systems, such as those undergoing chemotherapy or bone marrow suppression. This is not appropriate for bacterial meningitis.
B. Contact isolation is used for infections that are transmitted through direct contact with the patient or their environment, such as MRSA or C. difficile. Bacterial meningitis, however, is spread through respiratory droplets.
C. Universal precautions refer to standard infection control practices (like hand hygiene and wearing gloves) that apply to all patients, but specific precautions are needed for certain infections like bacterial meningitis.
D. Droplet isolation is necessary for bacterial meningitis, as it is transmitted via respiratory droplets from coughing, sneezing, or talking. This isolation prevents the spread of the infection to others in close proximity.
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