The priority for interdisciplinary care for the patient experiencing a migraine headache is pain management.

Option B: Anxiety is a correct diagnosis, but it is not the priority. Tension headaches are common for people that struggle with severe anxiety or anxiety disorders. Tension headaches can be described as a heavy head, migraine, head pressure, or feeling like there is a tight band wrapped around their head. These headaches are due to a tightening of the neck and scalp muscles.
Option C: Hopelessness should be addressed as part of the nursing care plan, but it does not require urgency. Hopelessness can result when someone is going through difficult times or unpleasant experiences. A person may feel overwhelmed, trapped, or insecure, or may have a lot of self-doubts due to multiple stresses and losses. He or she might think that challenges are unconquerable or that there are no solutions to the problems and may not be able to mobilize the energy needed to act on his or her own behalf.
Option D: The risk for side effects is accurate, but it is not as urgent as the issue of pain, which is often incapacitating. Focus: Prioritization

The client should be counseled on the food and drugs that are allowed. He should also be educated about the side effects of the medications given. Methods of distraction from pain should also be included in the teaching plan.

Option A: One explanation is that it causes nerve cells in the brain to release the chemical norepinephrine. Having higher levels of tyramine in the system — along with an unusual level of brain chemicals — can cause changes in the brain that lead to headaches.
Option B: Oral contraceptives and vasodilators, such as nitroglycerin, can aggravate migraines. Dilation of cerebral arteries causes the commonly reported side effect of migraine-type headache.
Option C: Abortive therapy should be used as early as possible in the course of a migraine. Combination analgesics containing aspirin, caffeine, and acetaminophen are an effective first-line abortive treatment for migraines. Ibuprofen at standard doses is effective for acute migraine treatment.
Option D: Medication overuse headaches or rebound headaches are caused by regular, long-term use of medication to treat headaches, such as migraines. Pain relievers offer relief for occasional headaches. But if one takes them more than a couple of days a week, they may trigger medication overuse headaches.
Option E: Complementary therapies are add-on therapies meant to be used along with traditional treatment, according to the National Center for Complementary and Integrative Health (NCCIH). Massage, spinal manipulation, and acupuncture are examples of complementary therapies that may be beneficial for people with migraines.
Option F: Medications such as estrogen supplements may actually trigger a migraine headache attack. Fluctuations in estrogen, such as before or during menstrual periods, pregnancy, and menopause, seem to trigger headaches in many women.

Taking vital signs is within the education and scope of practice for a nursing assistant.

Option A: Documentation is one of the nursing responsibilities.
Option B: The nurse should perform neurologic checks.
Option D: Patients with seizures should not be restrained; however, the nurse may guide the patient’s movements as necessary. Focus: Delegation/supervision

The LPN/LVN can set up the equipment for oxygen and suction.

Option A: The RN should perform the complete initial assessment.
Option C: Tongue blades should not be at the bedside and should never be inserted into the patient’s mouth after a seizure begins.
Option D: Padded side rails are controversial in terms of whether they actually provide safety and may embarrass the patient and family.

A patient with a seizure disorder should not take over-the-counter medications without consulting with the physician first.

Option A: Alcohol is not allowed for patients with seizures because it increases the risk of another episode.
Option B: A medical alert bracelet bears the message that the wearer has an important medical condition that might require immediate attention.
Option C: One of the priorities during a seizure is to prevent obstruction of the airway by turning the client into a side-lying position to allow drainage to flow.