A patient reports having recurring headaches described as 1 to 2 headaches per day for several weeks. The nurse understands that these headaches are most likely descriptive of which type of headache?
a. Cluster headache
b. Migraine headache
c. Simple headache
d. Tension headache
ANS: A
Cluster headaches reoccur 1 to 3 times daily in a period lasting from approximately 2 weeks to 3 months. Migraine headaches are severe and characterized by an aura prior to the headache. Tension headaches are related to stress.
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The nurse teaches a 78-year-old about treatment for the management of recently diagnosed glaucoma. Which of the following self-cares should the nurse include in the prevention of complications?
A) Avoid reading or watching television in low-light conditions or for long periods of time. B) Remain in a lying position as much as possible throughout the day. C) Avoid stress, coughing, sneezing, or the Valsalva maneuver. D) Use antihypertensive medications and diuretics with great caution.
One of the assessments performed in the delivery room is checking the umbilical cord for blood vessels. Which finding is considered to be within normal limits?
a. Two arteries and one vein b. Two arteries and two veins c. Two veins and one artery d. One artery and one vein
The nurse is caring for a patient who has chosen to breastfeed her infant. Which statement should the nurse include when teaching the mother about breastfeeding problems that may occur?
a. "If you experience painful nipples, cleanse your nipples with soap two times per day and keep your nipples covered as much as possible." b. "If you experience plugged ducts, continue to breastfeed every 2 to 3 hours and alternate feeding positions." c. "If mastitis occurs, discontinue breastfeeding while taking prescribed antibiotics and apply warm compresses." d. "If engorgement occurs, use cold compresses before a feeding and wear a well-fitting bra at night."
A 35-year-old male patient signs in as a voluntary commitment for treatment for drug abuse. He strongly maintains that he does not have a problem and states, "I'm only here because my boss threatened to fire me if I didn't come in
" The best nursing response to this patient is: A) "I wonder why your boss said that, if you don't have a problem?" B) "From your perspective, what do you think is the most important information for me to know about you?" C) "Your boss sounds pretty harsh!" D) "Well, you are here on your own, so you can leave whenever you want to."