A nurse is caring for a client who experiences cluster headaches. The nurse knows that cluster headaches result from a vascular disturbance leading to vasodilation. What symptoms and signs of vasodilation should the nurse look for in the client?
A) Tears forming
B) Reduced respiratory rate
C) Generalized shivering
D) Shrunken eyes
A
Feedback:
The nurse should look for tear formation (lacrimation) when looking for symptoms of vasodilation in clients with cluster headaches. Other symptoms of vasodilation seen in clients with cluster headaches include runny nose, sweating, and bulged eyes. Reduced respiratory rate, generalized shivering, and shrunken eyes are not symptoms of vasodilation.
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