During a history, the client reports having headaches on one side of the head that often start with an aura and last 1 to 3 days

As a part of the symptom analysis, the nurse asks the client about associated symptoms and anticipates that the client will report:
a. Nausea, vomiting, or visual disturbances.
b. Nasal stuffiness or discharge.
c. Ringing in the ears or dizziness.
d. Red, watery eyes or drooping eyelids.


ANS: A

Nursing

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An older adult client is in the healthcare provider's office for a routine physical exam

The client asks for an explanation of why skinfold measurements are not done as part of her assessment anymore. Which response by the nurse is the most appropriate? 1. "Those tests are no longer recommended to assess BMI." 2. "As a person ages, the test is not as accurate." 3. "The BMI (body mass index) test is easier to use." 4. "A detailed dietary history will give us the information that we need."

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While climbing over a barbed wire fence, a 22-year-old man received a deep laceration on his arm and hand

After washing and dressing the laceration with an antibiotic ointment, the emergency department nurse notes that the client has had all his immunizations, with his last tetanus at age 18 for another injury. Select the action that should be taken by the nurse at this time. a. Instruct the client on care of the laceration at home. b. Give a tetanus toxoid injection. c. Order a serum tetanus titer test. d. Advise the client to get another tetanus immunization in 2 years.

Nursing

A nurse is caring for four clients. Which client should the nurse recognize as having a higher potential for suicide attempt?

A) Roman Catholic B) Protestant C) Muslim D) Atheist

Nursing

There are several recognized challenges in implementing transition to practice programs as a national standard. Which statement best describes one of those challenges?

A) There is disagreement in identifying the gap between academia and clinical practice. B) Employers are reluctant to participate in transition to practice programs. C) There are only a few state organizations pushing for implementation. D) Few agree with the standardization criteria established by the IOM October 2010 report.

Nursing