NR-603-Week 1-Headaches Exam Study Guide with Complete Solutions

NR-603-Week 1-Headaches Exam Study Guide with Complete Solutions The two major types of migraine are - Answer️️ -migraine with aura and migraine without aura Most common type of migraine - Answer️️ -migraine without aura Characteristics of a migraine - Answer️️ -pounding or throbbing, moderate to severe in intensity aggravated by PHYSICAL ACTIVITY which is episodic, lasts 4 to 72 hours may be associated with nausea, vomiting, photophobia, and phonophobia. common triggers of migraines include - Answer️️ -medication overuse, obesity, depression, ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Tuesday, September 3, 2024 10:30 AM Page | 2 stressful life events, sleep problems including snoring, weather changes, foods (cheese, chocolate), alcohol, change in altitude, delay or skipping of a meal, hormonal changes. In a migraine with aura, when does the aura usually occurs - Answer️️ -before the onset of head pain, although it can sometimes extend into the period of headache. Visual auras can also be characterized by - Answer️️ -spots, shimmering bright lights, or areas of visual loss (scotomas). A prodrome can be part of a migraine. What describes a prodrome - Answer️️ -Several days before the aura or start of the head pain, the person may have feelings of doom or fatigue. Acute tension-type headaches are described as - Answer️️ -feeling like there is a tight band around the head. ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Tuesday, September 3, 2024 10:30 AM Page | 3 Nausea and vomiting are NOT present, pain can be mild to moderate in intensity Most common trigger of a tension-type headache is - Answer️️ -stress. Acute tension-type headache is described as . - Answer️️ -a nagging headache that occurs FEWER than 15 days per month, is present most of the day, and may start after the person wakes up. It rarely awakens the person Chronic tension-type headache is described as - Answer️️ -is similar in presentation to the acute type but occurs more often than 15 days per month. What are the characteristics of a cluster headache - Answer️️ -is usually AWAKENS patients during the night with severe unilateral, retro-orbital pain. A cluster headache reaches maximum intensity in about 15 minutes and usually lasts about 90 minutes, although some can last 3 hours. Subjective examination of a patient with headache should include - Answer️️ -The history is the most important part of the evaluation describing the duration, quality, and location of the pain. The presence or absence of any precipitating factors, or triggers, ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Tuesday, September 3, 2024 10:30 AM Page | 4 and the age at onset should be established. The presence of associated symptoms, such as nausea, vomiting, and photophobia, should be explored. Are migraines familial? - Answer️️ -yes Physical examination should include - Answer️️ -cardiopulmonary and complete neurologic assessment with a major focus on the following: • Funduscopic and pupillary assessment • Auscultation of the carotid and vertebral arteries • Mental status examination • Palpation of the head, neck, and temporal arteri