A nurse is caring for a patient admitted with cluster headaches. The nurse knows that in the early phase of a cluster headache what is required?
A) Dim lighting
B) Abortive medication therapy
C) Quiet
D) Rest
Ans: B
Feedback: A migraine or a cluster headache in the early phase requires abortive medication therapy instituted as soon as possible. Dim lighting, quiet, and rest are necessary for migraines; they are not required in the early phase of a cluster headache.
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The breast-feeding mother should be taught a safe method to remove her breast from the baby's mouth. Which suggestion by the nurse is most appropriate?
a. Slowly remove the breast from the baby's mouth when the infant has fallen asleep and the jaws are relaxed. b. Break the suction by inserting your finger into the corner of the infant's mouth. c. A popping sound occurs when the breast is correctly removed from the infant's mouth. d. Elicit the Moro reflex in the baby to wake the baby up, and remove the breast when the baby cries.
An institutional policy ____
a. Fosters inconsistency in administrative actions b. Helps guide organizational decision making c. Is incongruent with the values of the institution d. Outlines specific steps on how to perform an act
A history of maternal drug use is most closely related to a neonate's ability to:
a. absorb drugs from the gastrointestinal tract. b. excrete drugs by the kidney. c. metabolize drugs in the liver. d. bind drugs onto plasma proteins.
A client tells the nurse, "To pay back my neighbor for wrongs he has done me, I consider it my goal to burn down my neighbor's house with him in it.". The nurse is confronted with:
A) Confidentiality. B) Duty to warn. C) Accuracy in reporting. D) Involuntary commitment.