A patient presents with a daily headache which has worsened over the past several months. On funduscopic examination, you notice that the disk edge is indistinct and the veins do not pulsate. Which is most likely?
A) Migraine
B) Glaucoma
C) Visual acuity problem
D) Increased intracranial pressure
D) Increased intracranial pressure
This is a description of papilledema, which should make you think of increased intracranial pressure. This can be a critical finding. This patient may have a brain tumor or benign intracranial hypertension. These findings cannot be ignored and should be acted upon quickly.
You might also like to view...
A parent brings a child to the clinic and reports that the child is reluctant to walk and has a new limp. The parent also reports that the child seems lethargic and tired all the time. The nurse notes that the child appears pale
Which other finding would warrant immediate notification of the health-care provider? A. Difficulty staying asleep at night B. Left-sided abdominal enlargement C. Polyphagia and polydipsia D. Swelling of the legs and feet
A nurse conducts a class for family caregivers of elderly relatives. A woman in the audience asks about her mother's frequent urinary tract infection. What changes should the nurse suggest to the family?
A) Make changes to the mother's diet to include eggs, cheese, and fish B) Direct the mother to perform Kegel exercise at least 10 times per day C) Establish a regular toileting schedule at least every 4 hours during the day D) Ensure that the mother has an annual Pap smear to maintain good genitourinary health
The "E" in the CAGE questionnaire stands for:
1. "Have you ever felt guilty about your drinking?" 2. "Have you ever needed to start the day with a drink?" 3. "Have you ever had a need to decrease your drinking?" 4. "Have people irritated you with criticism about your drinking?"
A 4-year-old child is receiving amoxicillin (Amoxil) to treat otitis media and is in the clinic for a well-child checkup on the last day of antibiotic therapy
The provider orders varicella (Varivax); mumps, measles, and rubella (MMR); inactivated polio (IPV); and diphtheria, tetanus, and acellular pertussis (DTaP) vaccines to be given. Which action by the nurse is correct? a. Administer the vaccines as ordered. b. Discuss giving the MMR vaccine in 4 weeks. c. Hold all vaccines until 2 weeks after antibiotic therapy. d. Recommend aspirin for fever and discomfort.