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Exam 1 Med surg Galen Questions with Correct Answers
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Exam 1 Med surg Galen Questions with Correct Answers
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Exam 1 Med surg Galen Questions with Correct AnswersWhat are the three main types of headaches? Correct Answer-Migraine, Tension, Cluster
Steps to Pain Assessment Correct Answer-Provoking
Quality
Radiation
Severity Time
Provoking Correct Answer-has anything made it better or worse
Quality Correct Answer-Sharp, dull, achy, throbbing
Radiation Correct Answer-Does it radiate to another part of the body
Severity Correct Answer-Pain scale, 1-10 scale, intense pain, Other symptoms: N/V, photophobia
Time Correct Answer-how long has it been going on? how long does it usually last?
Tension Headache Correct Answer-Bandlike, tightness Describe a Migraine Correct Answer-Unilateral, supra and retro orbital, pulsating or throbbing, worse with movement, sensitivity with light and sounds
Cluster Correct Answer-Lancinationg or stabbing, 5-30 minutes. Extreme pain
Migraine Pathophysiology Correct Answer-Pathophysiology - Not entirely clear.; theories?
Prevalence: May be seen in children and adults; Among children more common in boys; among adults more common in women. History of patient with migraine: Otherwise healthy, usually female in 30's
Individualized triggers (stress, smells, foods, hormones, menses)
Tyramine rich foods- chocolate, cheeses, beer, wine, cigar, sweet and low.
Treatment for Migraine Correct Answer-Vasoconstriction works the best, irritation of the 5th cranial nerve, Estrogen hormone can causes migraines.
Migraine Manifestations Correct Answer-Manifestations
Pain: Usually unilateral, supra/retro-orbital, pulsating. Worse with movement. Accompanied by non-h/a symptoms: N/V, photophobia, phonophobia, Aura: (20% of cases):
Migraine Interventions Correct Answer-Pain management
Symptom management Ex. Pitch black, turn off all the lights, N/V causes dehydration
Migraine Drug Therapy Correct Answer-APAP/Caffeine/ Butabital (Fioricet)
NSAIDS : Naprosyn
CCBs and Beta- Blockers (Preventative therapy) : Verapamil
Triptans and ergotamine's: Sumatriptan and Cafergot
Anticonvulsants (Preventative therapy): Topiramate
Botox Injections (monthly) Magnesium
Migraine Complementary and alternative therapies Correct Answer-
Acupuncture, Yoga, Stress reduction activities, Supplemental mag, Distraction sometimes works.
Pound acronym Correct Answer-P:Pulsating
O:Duration U: Unilateral location
N: N/V
D: Disabling Epilepsy Correct Answer-Chronic disorder with two or more seizures experienced by the client.
Epilepsy Assessment Correct Answer-Inquire about the seizure activity, frequency, precipitating factors, aura (pre-ictal phase). Family history
Collateral medical conditions (hx stroke, HTN, TBI, drug/alcohol abuse)
Seizure risk factors Correct Answer-V: Vascular I: Infection or Inherited conditions
T: Trauma
A: Alzheimers/Autoimmune
M: Metabolic derangements
I: Idiopathic
N: Neoplasm
S: pSychiatric
Epilepsy Triggers Correct Answer-Sleep deprivation
Stress
Alcohol/ Alcohol Withdrawl
MSG pg 878 Chart 42-9
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