NUR 2755 Exam 1 /Multidimensional Care
IV / MDC 4
MDC 4 Exam 1 Which Migraine medications cannot be used in a patient with cardiac diseases and why?(ANS- Triptans and Ergotamine preparations- they will cause additional vasoconstriction of the head blood vessels What does abortive therapy do for migraines?(ANS- alleviate pain after the headache starts What does preventative therapy do for migraines?(ANS- 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?(ANS- Do not stop the medications What are some trigger foods for migraines?(ANS- 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?(ANS- 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?(ANS- Aura 1 / 2
A aura may happen with _______ and ________.(ANS- Migraines, Seizures S/S of Migraines ( ANS- 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?(ANS- 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?(ANS- Working suction and o2, padded bed side rails, placement of an IV when patient arrives.What should you never place in a patients mouth when they are having a seizure?(ANS- Tongue blade What is the term for a seizure lasting more than 5 minutes or having multiples in a 30 min period?(ANS- Status Epilepticus What can you give to stop a seizure?(ANS- 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?(ANS- 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?(ANS- Tonic
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