Which would be an appropriate nursing intervention for the child with a tension headache?
a. Assess for an aura.
b. Maintain complete bed rest.
c. Administer pharmacological headache relief measures.
d. Assess for nausea and vomiting.
C
Administration of pharmacological techniques is appropriate to assist in the management of a tension headache. An aura is associated with migraines but not with tension headaches. Complete bed rest is not required. Nausea and vomiting are associated with a migraine but not with tension headaches.
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An infant is delivered with the use of forceps. What should the nurse assess for in the newborn?
a. Loss of hair from contact with forceps b. Sacral hematoma c. Facial asymmetry d. Shoulder dislocation
The nurse is caring for a 10-year-old in traction. While performing a skin assessment, the nurse notices that the skin over the calcaneus appears slightly red and irritated. Which action would the nurse do first?
A) Reposition the child's foot on a pressure-reducing device B) Apply lotion to his foot to maintain skin integrity C) Make sure the skin is clean and dry D) Gently massage his foot to promote circulation
The nurse caring for a group of clients on a psychiatric–mental health unit expects that symptoms affecting both appetite and digestive processes may be exhibited by:
Standard Text: Select all that apply. 1. the client with depression. 2. the client with schizophrenia. 3. the client with bipolar disorder. 4. the client with generalized anxiety disorder. 5. the client experiencing posttraumatic stress disorder.
The client has hyperesthesia apparently associated with a neurological trauma. Which one of the following is an appropriate nursing intervention in regard to the client's sense of touch?
a. Reminding the client of the need to have frequent tactile contact b. Keeping the client loosely covered with sheets and blankets c. Allowing the client to lie motionless d. Using touch as a form of therapy