NUR 150
NUR 150 Exam 4| Questions with Correct Verified
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1. Migraine headache is a: UNILATERAL throbbing pain (recurring)
without aura most common with aura called "classic migraine"
2. Migraine risk factors: family history
age, female gender
obesity
low-level education
depression, stressful life
events
3. Migraine triggers: -stress
-toxins
-onset ages 25-55
4. Migraine HA s/s: Premonitory symptoms/Prodrome
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•Sensitivity to light, sounds, or smells (phonophobia or photophobia)
•Change in activity level
•Depression, fatigue
•Pallor, yawning, difficulty concentrating
•Taking migraine medication during this stage
-post drome (like a zombie or hungover)
-Aura/ no aura
5. migraine premonitory symptoms: photophobia (light sensitive),
phonophobia (sound sensitive), moodiness, poor concentration,
irritability, fatigue/sleep, food cravings, change in bowel habits
6. 3 types of auras: •Visual changes: flashing lights, wavy lines, spots,
partial loss of vision, blind spots, blurry vision
•Sensory auras are tingling, hearing voices, unusual odors
•Aphasic presents as speech problems
7. Migraine treatment: -pain relievers
- targeted meds
- triptans
- botox shots
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8. Migraine patient education: -daily exercise, relaxation
periods - teach prevention/avoid triggers
- quiet dim environment
- massage/moist heat packs
-reduce stress
9. sumatriptan (Imitrex): -causes cerebral vasoconstriction
contraindications- CAD/PVD/HTN/CVA/SZ
Cannot take with MAIOS
(death) not for migraine
prophylaxis start at first
sign of migraine
take 25 mg if does not work take another dose > 2 hours later
10. Epilepsy Etiology: 1/3 cases are idiopathic group of abnormal
neurons fire without clear cause genetic link
11. Stages of a seizure: Aura stage
Tonic Stage
Clonic stage
Postictal stage
12. Postictal stage of seizures: weak limbs, exhaustion, sleepy
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13. Clonic stage of seizures: jerky movements, frothy saliva,
blinking eyes
14. Tonic stage of seizures: back arches, stiff body, incontinence,
epileptic cry
15. Aura stage of seizure: Sensation of impending seizure
confusion, hallucination, dizzy, numbness, distorted emotions
16. Tonic-Clonic seizures s/s: Grand Mal
-Loss of consciousness, falling to ground
- body stiffens (tonic) with jerking movements (clonic)
- usually 2-3 minutes
-Postictal phase characterized by muscle soreness, fatigue
17. Tonic seizure s/s: sustained contraction cyanosis, excessive
salivation, tongue/cheek biting incontinence
18. Clonic seizure: -sustained muscle contractions with
alternating relaxation (jerking)
19. Atonic seizure (drop attack): sudden bilateral loss of muscle
tone
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