MDC 4 Exam 1 Rasmussen University
Which Migraine medications cannot be used in a patient with cardiac diseases and
why? Correct response- Triptans and Ergotamine preparations- they will cause
additional vasoconstriction of the head blood vessels
What does abortive therapy do for migraines? Correct response- alleviate pain after the
headache starts
What does preventative therapy do for migraines? Correct response- 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?
Correct response- Do not stop the medications
What are some trigger foods for migraines? Correct response- 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? Correct response- 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? Correct response- Aura
A aura may happen with _______ and ________. Correct response- Migraines,
Seizures
S/S of Migraines Correct response- 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? Correct response- 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? Correct response- 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?
Correct response- Tongue blade
, What is the term for a seizure lasting more than 5 minutes or having multiples in a 30
min period? Correct response- Status Epilepticus
What can you give to stop a seizure? Correct response- 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? Correct response- 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? Correct response- 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? Correct response- 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? Correct response- Myoclonic
A patient suddenly looses muscle tone and drops to the floor. What type of seizure is
this? Correct response- Atonic
A nurse starts to see the patient in a room starting to have a seizure. What is her next
move? Correct response- 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? Correct response- 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? Correct response- 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? Correct response- She should
switch off the pill as seizure prevention medications can cause the pill to not work.
S/S of Parkinsons include: Correct response- bradykinesia, muscle rigidity, mask like
face, postal instability, resting tremors, cogwheel rigidity, lead pipe rigidity, shuffling gait
What are some concerns regarding Parkinsons disease? Correct response- Safety- fall
precautions needed
Aspiration- may need assistance or observation while eating
Who is at risk for developing MS? Correct response- Females ages 20-40
Which Migraine medications cannot be used in a patient with cardiac diseases and
why? Correct response- Triptans and Ergotamine preparations- they will cause
additional vasoconstriction of the head blood vessels
What does abortive therapy do for migraines? Correct response- alleviate pain after the
headache starts
What does preventative therapy do for migraines? Correct response- 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?
Correct response- Do not stop the medications
What are some trigger foods for migraines? Correct response- 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? Correct response- 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? Correct response- Aura
A aura may happen with _______ and ________. Correct response- Migraines,
Seizures
S/S of Migraines Correct response- 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? Correct response- 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? Correct response- 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?
Correct response- Tongue blade
, What is the term for a seizure lasting more than 5 minutes or having multiples in a 30
min period? Correct response- Status Epilepticus
What can you give to stop a seizure? Correct response- 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? Correct response- 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? Correct response- 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? Correct response- 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? Correct response- Myoclonic
A patient suddenly looses muscle tone and drops to the floor. What type of seizure is
this? Correct response- Atonic
A nurse starts to see the patient in a room starting to have a seizure. What is her next
move? Correct response- 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? Correct response- 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? Correct response- 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? Correct response- She should
switch off the pill as seizure prevention medications can cause the pill to not work.
S/S of Parkinsons include: Correct response- bradykinesia, muscle rigidity, mask like
face, postal instability, resting tremors, cogwheel rigidity, lead pipe rigidity, shuffling gait
What are some concerns regarding Parkinsons disease? Correct response- Safety- fall
precautions needed
Aspiration- may need assistance or observation while eating
Who is at risk for developing MS? Correct response- Females ages 20-40
