Nokea
The client with a history of migraine headaches comes to the emergency department complaining of a migraine headache. Which collaborative treatment should the nurse anticipate?
- A. Administer an injection of sumatriptan (Imitrex), a triptan.
- B. Prepare for a computed tomography (CT) of the head.
- C. Place the client in a quiet room with the lights off.
- D. Administer propranolol (Inderal), a beta blocker.
Correct Answer: A
Rationale: Sumatriptan (A) is a first-line treatment for acute migraines. CT (B) is for atypical cases, quiet room (C) is supportive, and propranolol (D) is for prophylaxis.
You may also like to solve these questions
The client is diagnosed with Huntington's chorea. Which interventions should the nurse implement with the family? Select all that apply.
- A. Refer to the Huntington's Chorea Foundation.
- B. Explain the need for the client to wear football padding.
- C. Discuss how to cope with the client's messiness.
- D. Provide three (3) meals a day and no between-meal snacks.
- E. Teach the family how to perform chest percussion.
Correct Answer: A,C
Rationale: Referring to the Huntington’s Disease Society (A) provides support and resources. Discussing coping with messiness (C) addresses chorea-related coordination issues. Football padding (B) is inappropriate, meal restrictions (D) are unnecessary, and chest percussion (E) is unrelated.
The public health department nurse is preparing a lecture on prevention of West Nile virus. Which information should the nurse include?
- A. Change water daily in pet dishes and birdbaths.
- B. Wear thick, dark clothing when outside to avoid bites.
- C. Apply insect repellent over face and arms only.
- D. Explain that mosquitoes are more prevalent in the morning.
Correct Answer: A
Rationale: Changing water daily in pet dishes and birdbaths (A) prevents mosquito breeding, reducing West Nile virus risk. Thick clothing (B) should be light-colored, repellent (C) should cover all exposed areas, and mosquitoes are more active at dusk (D).
Which instruction should be the nurse's priority in this situation?
- A. Steps to enhance the client's immune system
- B. Importance of maintaining a balanced diet
- C. Techniques to improve the client's safety
- D. Importance of social interactions
Correct Answer: C
Rationale: Safety is the priority for clients with Parkinson's disease due to risks of falls and injury from motor symptoms.
The client is diagnosed with a closed head injury and is in a coma. The nurse writes the client problem as 'high risk for immobility complications.' Which intervention would be included in the plan of care?
- A. Position the client with the head of the bed elevated at intervals.
- B. Perform active range-of-motion (ROM) exercises every four (4) hours.
- C. Turn the client every shift and massage bony prominences.
- D. Explain all procedures to the client before performing them.
Correct Answer: A
Rationale: For a comatose patient, preventing immobility complications like pressure ulcers and contractures is key. Elevating the HOB at intervals (A) promotes circulation and reduces pressure. Active ROM (B) is not possible in coma, turning every shift (C) is too infrequent, and explaining procedures (D) is less relevant.
The rehabilitation nurse caring for the client with an Lumbar SCI is developing the nursing care plan. Which intervention should the nurse implement?
- A. Keep oxygen via nasal cannula on at all times.
- B. Administer low-dose subcutaneous anticoagulants.
- C. Perform active lower extremity ROM exercises.
- D. Refer to a speech therapist for ventilator-assisted speech.
Correct Answer: B
Rationale: Lumbar SCI affects lower extremities, increasing DVT risk. Low-dose anticoagulants (B) prevent thromboembolism. Oxygen (A) is unnecessary without respiratory issues, active ROM (C) is not feasible due to paralysis, and speech therapy (D) is irrelevant.