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A 29-year-old male complains of a severe headache and nausea that has gradually worsened over the past 12 hours. He is conscious, alert, and oriented and tells you that his physician diagnosed him with migraine headaches. He further tells you that he has taken numerous different medications, but none of them seems to help. His blood pressure is 132/74 mm Hg, his pulse is 110 beats/min and strong, and his respirations are 20 breaths/min. Treatment should include:

  1. applying warm compresses to the back of his neck and transporting with lights and siren.

  2. assisting him with his migraine medication and transporting without lights and siren.

  3. dimming the lights in the back of the ambulance and transporting without lights and siren.

  4. placing him in a supine position and transporting with lights and siren to a stroke center.

The correct answer is: applying warm compresses to the back of his neck and transporting with lights and siren.

Proper treatment for a patient with a migraine headache would include applying warm compresses to the back of his neck and transporting with lights and siren. Option B, assisting him with his migraine medication and transporting without lights and siren, would not address his current symptoms and may not alleviate his headache. Option C, dimming the lights in the back of the ambulance and transporting without lights and siren, may provide some relief but does not address the underlying cause of the headache. Option D, placing him in a supine position and transporting with lights and siren to a stroke center, is not necessary as the patient does not exhibit any signs or symptoms of a stroke.