A nurse is caring for a child who reports migraine headaches for the past 4 months. Which of the following actions should the nurse take first?

Refer the family to a chronic pain support group.

Request a change in medication from the provider.

Review the child's electronic pain diary.

Set up an appointment with the school nurse.

Answer and Explanation

The Correct Answer is C

A.   Referring the family to a chronic pain support group may be beneficial but does not address the immediate need to assess the child's current condition and management.
B.   Requesting a change in medication from the provider may be necessary but should be based on a thorough assessment, including reviewing the child's pain diary.
C.   Reviewing the child's electronic pain diary allows the nurse to gather important information about the frequency, severity, triggers, and effectiveness of current interventions for migraine headaches, guiding further assessment and management.
D.   While involving the school nurse may be part of the child's care plan, it does not address the immediate need to assess the child's current condition and management.

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Correct Answer is A

Explanation

A. Since vitamin B12 is primarily found in animal products, clients following a vegan diet should be advised to consume fortified foods or supplements containing vitamin B12 to prevent deficiency.
B. High-fat cheese is not a suitable meat substitute for individuals following a vegan diet, as it is an animal-derived product.
C. Nuts and legumes are valuable sources of protein and other nutrients in a vegan diet and should not be limited unless there are specific dietary restrictions or preferences.
D. Foods high in vitamin C are beneficial for overall health, but limiting them is not necessary for individuals following a vegan diet.

A. Ketorolac B. Omeprazole C. Metoclopramide D. Acetaminophen

Correct Answer is D

Explanation

A. Ketorolac is an NSAID that carries a risk of gastrointestinal bleeding and is contraindicated in clients with cholelithiasis due to its potential to cause biliary colic.
B. Omeprazole is a proton pump inhibitor used to reduce gastric acid secretion and prevent ulcers but does not provide immediate pain relief.
C. Metoclopramide is a prokinetic agent that helps with gastric emptying and may be used to relieve symptoms such as nausea and vomiting but is not indicated for pain relief.

D. Acetaminophen is a suitable PRN pain medication for a client experiencing moderate abdominal pain due to cholelithiasis. It provides effective analgesia without exacerbating symptoms or causing adverse effects on the gastrointestinal system, which is crucial for clients with gallstone-related pain.

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A nurse is caring for a child who reports migraine headaches for the past 4 months. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who plans to begin following vegan dietary guidelines. Which of the following information should the nurse include?

Correct Answer is A

Explanation

A nurse is preparing to administer PRN pain medication to a client who has cholelithiasis and is experiencing moderate abdominal pain. Which of the following medications should the nurse plan to administer?

Correct Answer is D

Explanation

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