A nurse assesses a client who has a history of migraines. Which ...

[DyllonKazuo]

A nurse assesses a client who has a history of migraines. Which clinical manifestation should the nurse identify as an early sign of a migraine with aura?
 
  a. Vertigo
  b. Lethargy
  c. Visual disturbances
  d. Numbness of the tongue

Question 2

A nurse is teaching a client who experiences migraine headaches and is prescribed a beta blocker. Which statement should the nurse include in this client's teaching?
 
  a. Take this drug only when you have prodromal symptoms indicating the onset of a migraine headache.
  b. Take this drug as ordered, even when feeling well, to prevent vascular changes associated with migraine headaches.
  c. This drug will relieve the pain during the aura phase soon after a headache has started.
  d. This medication will have no effect on your heart rate or blood pressure because you are taking it for migraines.

[ngr69]

Answer to Question 1

ANS: C
Early warning of impending migraine with aura usually consists of visual changes, flashing lights, or diplopia. The other manifestations are not associated with an impending migraine with aura.

Answer to Question 2

ANS: B
Beta blockers are prescribed as prophylactic treatment to prevent the vascular changes that initiate migraine headaches. Heart rate and blood pressure will also be affected, and the client should monitor these side effects. The other responses do not discuss appropriate uses of the medication.