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. Huntington disease is an autosomal dominant genetic disorder, meaning that if one parent has the gene, each child has a 50% chance of inheriting it. Therefore, all family members are at risk for the disease.

B. While genetic testing may be relevant for the patient’s children, it is not limited only to them. The patient and other family members are also at risk and may choose to be tested.

C. Huntington disease typically manifests between ages 30 and 50, and there is no age cutoff for determining risk. Early diagnosis may occur, but not being diagnosed by age 20 does not rule out the disease.

D. While genetic testing can confirm the presence of the gene, it is not the only way to determine risk. Family history and clinical symptoms are also key factors in understanding the risk for Huntington disease.

A. Dysphasia B. Dysarthria C. Expressive aphasia D. Receptive aphasia

Correct Answer is D

Explanation

A. Dysphasia is a general term for difficulty with speech and language, which can involve problems with speaking, understanding, reading, or writing. It is not specific to the patient's response of raising an arm instead of sticking out the tongue.

B. Dysarthria refers to difficulty with the physical act of speaking due to weakness or incoordination of the muscles involved in speech. It does not involve comprehension or understanding of language.

C. Expressive aphasia refers to difficulty expressing thoughts verbally or in writing, but the patient typically understands language. This does not match the patient's response to the nurse's command.

D. Receptive aphasia is characterized by difficulty understanding spoken or written language. The patient may not comprehend the nurse's instructions, leading to inappropriate responses, such as raising an arm instead of sticking out the tongue.

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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

A patient is distressed to learn that a sibling is diagnosed with both neurologic and cognitive manifestations of Huntington disease. When the patient asks the nurse how to determine the incidence of the disease, which answer is most appropriate?

Correct Answer is A

Explanation

The nurse is providing care for a patient diagnosed with a stroke resulting in language disorder. Which type of disorder does the nurse recognize if the patient raises an arm in response to the nurse's direction to stick out his tongue?

Correct Answer is D

Explanation

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