An adult client with a history of migraine headaches tells the nurse that in the past six months, she has needed to use her medication to abort headaches on the average of 5 to 6 times a month, despite avoiding her migraine triggers
The nurse explains that the next step in her therapy might be to take which action?
1. Review her migraine triggers and look for new ones.
2. Try a different drug to abort the headaches.
3. Try a drug to prevent the headaches.
4. Take a drug holiday to clear out her system.
Correct Answer: 3
Rationale 1: Looking for more triggers might not help with the need to prevent the headaches, since the client is having so many headaches each month.
Rationale 2: If a client is having more than three headaches a month, she might need a drug to prevent headaches.
Rationale 3: If a client is having more than three migraine headaches a month, she might require preventive rather than abortive treatment.
Rationale 4: Taking a drug holiday will not help the client manage her headaches.
Global Rationale: If a client is having more than three migraine headaches a month, she might require preventive rather than abortive treatment. Looking for more triggers might not help with the need to prevent the headaches, since the client is having so many headaches each month. Taking a drug holiday will not help the client manage her headaches.
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