A nurse is providing nutritional teaching to a client who has chronic migraine headaches. The nurse should inform the client that which of the following dietary items can trigger a migraine?

Fresh vegetables

Frozen yogurt

Red wine

Orange juice

Answer and Explanation

The Correct Answer is C

A. Fresh vegetables Fresh vegetables are generally not associated with triggering migraines.
B. Frozen yogurt While some people may have individual triggers, frozen yogurt is not a common migraine trigger.
C. Red wine: Red wine contains tyramine, which is known to trigger migraines in many people.
D. Orange juice Orange juice is not commonly associated with triggering migraines.

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Correct Answer is D

Explanation

A. Decrease in heart rate: Acute pain typically causes an increase in heart rate, not a decrease.
B. Increase in vagal nerve tone: An increase in vagal nerve tone can actually result in a decreased heart rate and is not a direct indicator of acute pain.
C. Decrease in respiratory rate: Acute pain usually causes an increase in respiratory rate, not a decrease.
D. Increase in muscle tone: This is correct. An increase in muscle tone can indicate acute pain as the body tenses in response to pain.

A. "The client's postoperative antibiotic was administered." B. "The client's partner came to visit today." C. "At 2200, the client's IV fluid bag and tubing will need replacing." D. "Colonoscopy was performed 48 hours ago."

Correct Answer is C

Explanation

A. "The client's postoperative antibiotic was administered." While this information is important, it is not typically included in the change-of-shift report unless there were specific issues related to antibiotic administration (e.g., allergic reactions, missed doses).
B. "The client's partner came to visit today." While this information might be relevant to the client’s social and emotional well-being, it is not critical for the shift report regarding clinical care.
C. "At 2200, the client's IV fluid bag and tubing will need replacing." This statement is important for continuity of care and should be included in the report to ensure that the next shift is aware of necessary actions.
D. "Colonoscopy was performed 48 hours ago." This information is relevant for understanding the client’s postoperative status but is less immediate compared to other details such as current medication administration or upcoming needs.

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A nurse is providing nutritional teaching to a client who has chronic migraine headaches. The nurse should inform the client that which of the following dietary items can trigger a migraine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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