Which type of headache would the nurse suspect when the headaches are unilateral and throbbing, preceded by a premonitory symptom of photophobia, and associated with a family history?

Cluster

Tension-type

Frontal-type

Migraine

Answer and Explanation

The Correct Answer is D

A: "Cluster." Cluster headaches are characterized by severe, unilateral pain, often described as sharp or burning rather than throbbing. They typically occur in cyclical patterns or clusters and are often accompanied by autonomic symptoms, such as nasal congestion or tearing, rather than photophobia.
B: "Tension-type." Tension-type headaches are generally bilateral and described as a dull, pressing, or tightening sensation rather than throbbing. They are not usually associated with photophobia or a family history of migraines, making this option less likely.
C: "Frontal-type." Frontal-type headaches can occur in the forehead area but do not have a specific classification as a primary headache type. They may be associated with sinus issues or tension but do not fit the description of unilateral, throbbing pain with photophobia or family history.
D: "Migraine." Migraines are typically unilateral and throbbing, often preceded by premonitory symptoms such as photophobia or aura. The association with family history suggests a genetic predisposition to migraines, further supporting this diagnosis.

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Correct Answer is A

Explanation

A: "Medications for Alzheimer's disease will help slow the progression of my disease." This reflects the purpose of commonly prescribed medications, such as cholinesterase inhibitors and memantine. These medications aim to improve cognitive function and slow the progression of symptoms, though they do not cure the disease.
B: "Medications for Alzheimer's disease will cure the disease." There is currently no cure for Alzheimer's disease, and medications are intended to manage symptoms and potentially slow progression rather than provide a cure.
C: "Medications for Alzheimer's disease will help me remember what I forgot." Medications may improve memory and cognitive function to some extent, but they do not restore lost memories or fully resolve memory deficits.
D: "Medications for Alzheimer's disease will help to increase my energy levels." Medications for Alzheimer's focus on addressing cognitive decline and associated symptoms rather than increasing energy levels.

A. Massage the calves every shift. B. Place pillows under the client's knees when in bed. C. Perform passive range of motion exercises. D. Apply elastic compression stockings. E. Assess legs for redness.

Correct Answer is ["C","D","E"]

Explanation

A. Massage the calves every shift. Massaging the calves is contraindicated in clients at risk for pulmonary embolism (PE) because it can dislodge a deep vein thrombosis (DVT) and cause an embolism. Instead of massage, gentle movement and circulation-promoting interventions should be used.
B. Place pillows under the client's knees when in bed. Elevating the knees with pillows can impair circulation and increase the risk of venous stasis, leading to DVT formation. A better alternative is to keep the legs elevated slightly without knee flexion to promote venous return.
C. Perform passive range of motion exercises. Passive range of motion (ROM) exercises promote circulation and help prevent venous stasis, reducing the risk of DVT formation. Clients with quadriplegia are at high risk for immobility-related complications, including clots and muscle atrophy, making ROM exercises an essential intervention.
D. Apply elastic compression stockings. Compression stockings help prevent blood pooling in the lower extremities, reducing the risk of DVT and pulmonary embolism. They work by promoting venous return and preventing clot formation, making them a key preventative measure for immobile clients.
E. Assess legs for redness. Redness, swelling, and warmth in the legs can indicate the presence of a DVT, which can lead to PE. Early detection allows for prompt intervention with anticoagulation therapy, reducing the risk of embolism. Regular assessments are critical in clients with limited mobility.

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Which type of headache would the nurse suspect when the headaches are unilateral and throbbing, preceded by a premonitory symptom of photophobia, and associated with a family history?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is newly diagnosed with Alzheimer's disease and their family about newly prescribed medications for Alzheimer's disease. Which statement by the client indicates the teaching was effective?

Correct Answer is A

Explanation

A nurse is planning care for a client who has quadriplegia. Which of the following actions should the nurse take to prevent a pulmonary embolism (PE)? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

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