A nurse is caring for a client with cluster headaches. The nurse knows that cluster
headaches result from vascular disturbance leading to vasodilation. What symptom and
sign of vasodilation should the nurse look for in the client?
A) Tears forming
B) Reduced respiratory rate
C) Generalized shivering
D) Shrunken eyes
A
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The patient's order is to start total parenteral nutrition (TPN) containing a concentration of 15% glucose and 3.5% amino acids. The nurse realizes the solution must be
A) initially started in a peripheral line. B) given in a central line. C) checked, since glucose concentration is dangerously high. D) held until renal function studies are done.
The nurse is wondering why Martha continually picks at her clothing and dusts herself off before walking. One way to assess the purpose of her behavior is to
1. ask her about it. 2. do research in a psychiatric text. 3. ask her family to explain her actions. 4. review her old psychiatric medical records.
A patient is scheduled for extraction of a cataract. How should the nurse classify this patient's surgical procedure?
1. minor elective 2. minor diagnostic 3. major constructive 4. major elective
The unit manager on 4E is concerned about the performance of Jean, a staff nurse. She is not involved directly with Jean, so she has not been able to determine whether the problem is one of motivation, ability, or both
If Jean lacks ability, which of the following strategies might the head nurse use? a. Dismiss or transfer Jean. b. Document all problem areas and then discuss them with Jean. c. Develop appropriate solutions and make recommendations to Human Resources. d. Smooth over the problems if they are minor in nature.