Question

A nurse is caring for a client in the emergency department (ED). Same patient.

A nurse is caring for a client who has a migraine. Which of the following interventions should the nurse anticipate? (Select all that apply)

A. Administer sumatriptan
B. Prepare to initiate fibrinolytic therapy
C. Place the client in seizure precautions
D. Dim the lights in the clients room
E. Prepare the client for a lumbar puncture
F. Administer phenobarbital

Answer 1

For a client with a migraine, the nurse should anticipate administering sumatriptan and dimming the lights in the room. Other interventions like fibrinolytic therapy, seizure precautions, lumbar puncture, and administering phenobarbital are not standard for migraine treatment unless other conditions are suspected or present.

Step-by-step explanation:

When a client presents with a migraine, there are specific nursing interventions that can be anticipated. The most appropriate interventions based on the symptoms of a migraine would be to:

• Administer sumatriptan: This medication is a common treatment for migraine attacks as it helps to constrict blood vessels and block pain pathways in the brain.
• Dim the lights in the client's room: Migraines often come with photophobia, or sensitivity to light, so reducing light can alleviate discomfort.

Fibrinolytic therapy is not indicated for migraines as it is intended for thrombotic strokes. Seizure precautions are not a standard treatment for migraines unless the patient has a history of seizures. A lumbar puncture may be performed if there is suspicion of meningitis or another central nervous system issue. Phenobarbital, an antiepileptic medication, is typically not used in the acute management of a migraine unless other factors are present.