Exam 3: Flashcards
A patient c/o headache. A series of test rule out any cause of the headache. The patient with no organic cause of headache is called
a. primary headache
b. secondary headache
c. tertiary headache
d. quaternary headache
a. primary headache
A patient come to the doctor office and complaints of constant headache persist for 3 months. What is the appropriate statement from the nurse?
a. “You have a primary headache. Take OTC Tylenol should help.”
b. “Decrease caffeine intake and reduce stress can help with the headache.”
c. “The doctor may order more test.”
d. “Record a headache diary including the food, weather changes, menstrual period can help identify what is the trigger for the headache.”
c.
Since the patient has a persistent headache and the symptoms are constant. The doctor will order further testing to rule out any secondary headache that may cause the symptoms. Secondary headache may cause by brain tumor or cerebral hemorrhage.
A nurse caring for a patient with migraine headache. The patient asked what are the risk factors for migraine headache. Select all that apply.
a. Family history of migraine
b. Being male
c. vasodilation
d. tyramine food
e. sleep changes
a. family history of migraine
c. vasodilation
d. tyramine food (aged cheese, wine, dairy food), MSG
e. sleep changes (lack of sleep or sleeping too much)
woman are prone to have migraine than men
A patient ask what does prodrome phase of migraine might feels like? Select all that apply.
a. constipation
b. increased urination
c. anorexia
d. diarrhea
a, constipation, b. increased urination, d. diarrhea
patient may have increased appetite.
prodrome is the first phase of migraine which begins up to 24 hours before headache occur.
What does migraine with aura feels like? Select all that apply
a. partial visual loss
b. excessive talking
c. difficulty speaking
d. tingling and numbing on one side of the arm or leg
e. increase appetite
a, partial visual loss, c. difficulty speaking, d. tinkling and numbing on one side of the arm or leg.
patient may also experience bright spots with various shapes, flashes of light, hearing noises or music, and uncontrollable jerking or other movements.
Majority of the patients who experience migraine are with aura.
a. true
b. false
b. false.
Most of the patients who have migraine do not experience aura. This is called the common migraine.
Migraine with aura is called classic migraine
Which of the following may be a sign of premonitory phase? select all that apply.
a. energetic
b. increased urination
c. food cravings
d. abdominal pain
e. mood changes
b. increased urination
c. food cravings
e. mood changes
other premonitory phase include fatigue, diarrhea, constipation
During the headache phase, what will be likely the symptoms patient with migraine may experience?
a. headache on both side of the head
b. food cravings
c. diarrhea
d. sensitive to light
d. sensitive to light
patient with migraine may feel headache on side of the head, sensitive to light and sound, nausea and vomiting
during the postdrome phase, what likely patient will feel?
a. lively mood
b. feel well
c. muscle stiffness especially in the neck
d. high concentration
c. muscle stiffness especially in the neck.
During postdrome phase, patient will feel washed out. they may be confused , depressed, irritable, feel drained, poor concentration.
Which of the following are not the trigger for a migraine? select all that apply.
a. Sauteed vegetables with MSG seasoning
b. 8 oz of coffee
c. birth control pill
d. stress during work
e. fresh fruits
e. fresh fruits.
There are many triggers for migraine. Some medications such as birth control and vasodilator, sensory stimuli (light, sun, loud sound, strong smell), alcohol, caffeine, stress, weather changes, sleep changes, food additives, and food contains tyramine are all triggers for migraine.
Which of the following are the management for migraine? select all that apply.
a. Avoid consumption of coffee
b. Take OTC aspirin or tylenol orally
c. Take oral contraceptives as instructed
d. Add dairy products into diet
e. take ondansetron for nausea
a, caffeine and alcohol can trigger migraine.
b. OTC aspirin or tylenol may reduce the headache
e. Some patient experience n/v during migraine. Taking antiemetic can reduce unpleasant feeling.
oral contraceptives and vasodilator such as nitroglycerin can worsen the migraine.
dairy products contains tyramine and food additive such as MSG can trigger migraine.
Which of the following statement indicate effective teaching?
a. “I should increase dairy intake to prevent migraine.”
b. “During the migraine attack, I can apply Sumatriptan intranasally.”
c. “Drinking two cup of coffee can alleviate the migraine.”
d. “Avoid taking Ergotamine which it can increase migraine.”
b. Sumatriptan can be administered orally, intranasally, or subcutaneously. It can help reduce migraine during migraine attack. side effects of the medication is hypertension, drowsy, muscle pain, sweating, and anxiety.
Ergotamine is one of the medication can be taken early in the migraine process. side effects of Ergotamine is muscle ache, paresthesia, and n/v. May need to use antiemetic together.
Which of the following are preventative medications for migraine? select all that apply.
a. Sumatriptan
b. Botox injection
c. Ergotamine
d. amitriptyline
e. Tylenol
f. Valproic acid
b, d, f
antihypertensive, antidepressant, anti-seizure, Botox injection, and calcitonin gene-related peptide monoclonal antibodies monthly injection are preventative medication that help prevent frequent migraines.
Sumatriptan, ergotamine, and tylenol are medication taken during the migraine attack.
A patient comes to the neurologist office complaints of severe headache accompanying watery eyes, nasal congestion, and swelling around the eyes. What type of headache does the patient may be get diagnosed of?
a. Primary headache
b. Cluster headache
c. Classic migraine
d. Simple headache
b. cluster headache.
Cluster head commonly awaken patient in the middle of the night with intense pain in or around one eye on one side of the head. They symptom comes and goes.
Why is the cluster headache also called the suicide headache?
It is because the severity of the headache. It is too much pain to live on.
