The nurse is caring for a patient who has migraine headaches. The patient reports having these headaches more frequently. Which is an appropriate recommendation for this patient?
a. "Avoid chocolate and caffeine."
b. "Engage in strenuous exercise."
c. "Have a glass of red wine with dinner."
d. "Take ibuprofen prophylactically."
ANS: A
Triggering factors for migraine headache include foods such as chocolate, caffeine, and red wine. Intense physical exertion can trigger migraines. Prophylactic ibuprofen is not indicated.
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A 12-year-old client is brought to the emergency room after falling on his arm during a football game
When the nurse tells the client that she is going to administer pain medication through the intravenous line, the client begins to scream and wave his unhurt arm. The parents ask the nurse why their child is behaving this way. The nurse's best response would be: 1. "He is just immature for his age." 2. "I am sure he is just scared." 3. "It looks like he may have hurt his head during the fall." 4. "He may be remembering another time when he got a shot."
The postoperative client's arterial blood gas values are pH 7.22, HCO3– 21 mEq/L, PCO2 65 mm Hg, and PO2 58 mm Hg. What is the nurse's best first action?
A. Notify the physician. B. Assess the client's airway. C. Increase the oxygen flow rate. D. Document the finding as the only action.
While answering questions posed by a nurse during a health history, a young woman says, "Before my period I get headaches, am moody, and my breasts hurt." What is the patient experiencing?
A) perimenopause B) menarche C) PMS D) menses
Which action should the nurse take to evaluate treatment effectiveness for a patient who has hepatic encephalopathy?
a. Request that the patient stand on one foot. b. Ask the patient to extend both arms forward. c. Request that the patient walk with eyes closed. d. Ask the patient to perform the Valsalva maneuver.