The nurse is providing care to a patient with a migraine headache. What action should the nurse take?
Provide a dark quiet environment
Eliminate all caffeine from the patient's diet
Monitor for cognitive impairment
Medicate with opioids
The Correct Answer is A
A. Providing a dark, quiet environment is an appropriate intervention for a client with a migraine headache. Migraines are often aggravated by bright lights and loud noises, so creating a calm, low-stimulation environment can help alleviate symptoms.
B. While caffeine can be a trigger for some individuals with migraines, it is not necessary to eliminate all caffeine. In fact, caffeine is sometimes included in medications for migraines to enhance their effectiveness.
C. Cognitive impairment is not a typical concern for migraines unless the headache is severe or prolonged. Monitoring for cognitive impairment would not be the primary action in this scenario.
D. Opioids are not recommended for the treatment of migraines due to their potential for abuse and side effects. NSAIDs, triptans, and other specific migraine treatments are preferred.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Keep familiar personal items in the client's room is an effective strategy to help reduce confusion in clients with Alzheimer's disease. Familiar items can provide comfort and a sense of security, which can help orient the client and reduce agitation.
B. Hang abstract pictures on the walls is not recommended for clients with Alzheimer's disease, as abstract art may be confusing or difficult for them to interpret. Instead, simple and familiar images are more beneficial for orientation.
C. Encourage bright lighting in the room may cause discomfort or confusion for some individuals with Alzheimer's disease, especially if they are sensitive to light. Soft, ambient lighting is often more calming.
D. Keep the television on at all times may be overstimulating and contribute to confusion. It is better to create a calm and quiet environment to help the client focus and reduce agitation.
Correct Answer is A
Explanation
A. It must be hard to see your mother so ill and upset is a compassionate and empathetic response that acknowledges the son's distress while validating his feelings. This approach fosters open communication and emotional support, which is important for both the patient and their family.
B. Telling the son to sit quietly with his mother may invalidate his feelings and suggests that the solution is simply to wait for the mother to calm down. It does not acknowledge his emotional distress or provide the necessary support.
C. While offering to comfort the mother is kind, this response does not address the son’s emotional needs. It is important to support the family members as well, not just the patient.
D. "Your mother's crying seems to bother you more than it does her" is dismissive of the son's feelings and could make him feel misunderstood or judged. It does not provide the necessary emotional support for the son.
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