MDC 4 Exam 1 Which Migraine medications cannot be used in a patient with cardiac diseases and why? (Answer)- Triptans and Ergotamine preparations- they will cause additional vasoconstriction of the head blood vessels What does abortive therapy do for migraines? (Answer)- alleviate pain after the headache starts What does preventative therapy do for migraines? (Answer)- prevent a headache is it occurs more than twice a week or is severe.A patient is taking beta blocker and calcium channel blockers to prevent a migraine. What education should the nurse give to the patient regarding these medications? (Answer)- Do not stop the medications What are some trigger foods for migraines? (Answer)- aged cheeses, smoked meats, fermented deli meats, pickles, beer, wine, nuts (think tyramine) A patient is trying to see what things trigger their migraines. What education can the nurse provide? (Answer)- Keep a food diary and determine what foods may make the migraine occur.A patient tells the nurse that they see flashing lights before their headache starts.What is this called? (Answer)- Aura A aura may happen with _______ and ________. (Answer)- Migraines, Seizures S/S of Migraines (Answer)- Photophobia, N,V,head pain, phonophobia A patient tells their spouse who is a nurse they are having a migraine. What would the nurse tell them to do? (Answer)- Go into a cool dark room and rest while sitting up.A nurse is setting up a room for a patient coming in for a seizure. What things should be included in the room? (Answer)- Working suction and o2, padded bed side rails, placement of an IV when patient arrives. 1 / 2
What should you never place in a patients mouth when they are having a seizure?(Answer)- Tongue blade What is the term for a seizure lasting more than 5 minutes or having multiples in a 30 min period? (Answer)- Status Epilepticus What can you give to stop a seizure? (Answer)- IV benzo A patient states to the nurse before leaving the doctors office his provider will place him on phenytoin. What education should the nurse give? (Answer)- Do not stop the medication- if so a seizure may occur.A patient with a seizure disorder suddenly freezes up and drops without twitching.What type of seizure is this called? (Answer)- Tonic A patient with a seizure disorder suddenly freezes up for a few seconds and starts to vigorously twitch. What type of seizure is the patient having? (Answer)- Tonic Clonic A person starts to have brief twitches of their left arm while in line to check out at the store. What type of seizure is this? (Answer)- Myoclonic A patient suddenly looses muscle tone and drops to the floor. What type of seizure is this? (Answer)- Atonic A nurse starts to see the patient in a room starting to have a seizure. What is her next move? (Answer)- Place patient on left side, lower bed, support head, no restraining them, timing the episode and calling for help.After a seizure is done, what actions should the nurse take? (Answer)- Assess vitals, reorient patient, clean them up if they peed or pooped, call provider.A teen with a seizure disorder is cleared by the provider to take his drivers license test. What must her report to the DMV? (Answer)- That he has a seizure disorder A female patient was recently diagnosed with a seizure disorder and is taking a oral contraceptive. What education must the nurse give? (Answer)- She should switch off the pill as seizure prevention medications can cause the pill to not work.
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