MDC 4 EXAM RASMUSSEN UNIVERSITY
QUESTIONS AND ANSWERS (A+)
Which Migraine medications cannot be used in a patient with cardiac diseases and why? -
ANSWER>>Triptans and Ergotamine preparations- they will cause additional vasoconstriction
of the head blood vessels
What does abortive therapy do for migraines? - ANSWER>>alleviate pain after the headache
starts
What does preventative therapy do for migraines? - ANSWER>>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? - ANSWER>>Do
not stop the medications
What are some trigger foods for migraines? - ANSWER>>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? - ANSWER>>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? - ANSWER>>Aura
A aura may happen with _______ and ________. - ANSWER>>Migraines, Seizures
S/S of Migraines - ANSWER>>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? - ANSWER>>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? - ANSWER>>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? -
ANSWER>>Tongue blade
What is the term for a seizure lasting more than 5 minutes or having multiples in a 30 min
period? - ANSWER>>Status Epilepticus
What can you give to stop a seizure? - ANSWER>>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? - ANSWER>>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? - ANSWER>>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? - ANSWER>>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? - ANSWER>>Myoclonic
A patient suddenly looses muscle tone and drops to the floor. What type of seizure is this? -
ANSWER>>Atonic
A nurse starts to see the patient in a room starting to have a seizure. What is her next move?
- ANSWER>>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? - ANSWER>>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? - ANSWER>>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? - ANSWER>>She should switch off the
pill as seizure prevention medications can cause the pill to not work.
QUESTIONS AND ANSWERS (A+)
Which Migraine medications cannot be used in a patient with cardiac diseases and why? -
ANSWER>>Triptans and Ergotamine preparations- they will cause additional vasoconstriction
of the head blood vessels
What does abortive therapy do for migraines? - ANSWER>>alleviate pain after the headache
starts
What does preventative therapy do for migraines? - ANSWER>>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? - ANSWER>>Do
not stop the medications
What are some trigger foods for migraines? - ANSWER>>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? - ANSWER>>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? - ANSWER>>Aura
A aura may happen with _______ and ________. - ANSWER>>Migraines, Seizures
S/S of Migraines - ANSWER>>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? - ANSWER>>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? - ANSWER>>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? -
ANSWER>>Tongue blade
What is the term for a seizure lasting more than 5 minutes or having multiples in a 30 min
period? - ANSWER>>Status Epilepticus
What can you give to stop a seizure? - ANSWER>>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? - ANSWER>>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? - ANSWER>>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? - ANSWER>>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? - ANSWER>>Myoclonic
A patient suddenly looses muscle tone and drops to the floor. What type of seizure is this? -
ANSWER>>Atonic
A nurse starts to see the patient in a room starting to have a seizure. What is her next move?
- ANSWER>>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? - ANSWER>>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? - ANSWER>>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? - ANSWER>>She should switch off the
pill as seizure prevention medications can cause the pill to not work.
