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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. A lumbar herniated disc commonly causes radiating pain down the leg, known as sciatica. This occurs when the herniated disc compresses a nerve root, often causing pain, numbness, tingling, or weakness that radiates down the leg.

B. Headache is not a typical symptom of a lumbar herniated disc. Headaches are generally associated with conditions affecting the head or neck, not the lower back.

C. Difficulty breathing is not associated with a lumbar herniated disc. Breathing problems are typically related to respiratory or cardiac conditions, not issues with the spine.

D. Blurred vision is not a symptom of a lumbar herniated disc. Vision changes are more often related to eye or neurological issues affecting the brain, not the lower back.

A. Emotional lability B. Personality changes C. Diabetes insipidus D. Unstable vital signs

Correct Answer is D

Explanation

A. Emotional lability (rapid mood swings) can occur with brain injuries, but it is more commonly associated with damage to the frontal lobe, not the brainstem.

B. Personality changes are also more likely to result from damage to the frontal lobe or other areas of the brain responsible for behavior and personality, not the brainstem.

C. Diabetes insipidus can result from brain injury, particularly damage to the hypothalamus or pituitary gland, but it is not a direct consequence of brainstem injury.

D. Unstable vital signs are a common result of damage to the brainstem, which is responsible for regulating autonomic functions such as heart rate, blood pressure, and respiration. Damage to the brainstem can lead to life-threatening instability in these vital functions.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a common sign or symptom of a lumbar herniated disc?

Correct Answer is A

Explanation

A traumatic brain injury on the brainstem can cause which of the following?

Correct Answer is D

Explanation

A nurse is caring for a client following a lumbar laminectomy. Which of the following actions should the nurse take?

A traumatic brain injury that affects the pituitary gland or hypothalamus can cause which of the following?

The nurse performs a visual assessment on a patient and documents the findings using the acronym PERRLA. Which assessment finding does PERRLA indicate?

The nurse is providing care for a patient diagnosed with an ischemic stroke on the left side of the brain with opposite side affected extremities. The nurse notices that the patient does not easily reach items placed at the bedside. In which area does the nurse place items for easy access?

The nurse is working in a college clinic when a student comes in and says, "I think I have a migraine. My head hurts, I cannot stand the bright light, and I feel sick to my stomach." What additional finding is most concerning?

What infection control precaution is a client diagnosed with bacterial meningitis instituted?

A client has a herniated lumbar disk at L5. The nurse knows that which of the following symptoms needs to be immediately reported to the RN or physician?

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.