A client is surprised to learn that she has high blood pressure. Which of the following should the nurse assess in this client? The presence or occurrence of:
1. nausea.
2. pain.
3. headache.
4. fear.
3
With very elevated blood pressure, headache is the most commonly reported symptom. Although pain and nausea may be reported, they are not the most common. Fear is not commonly associated with hypertension though it may occur with an onset of pain or nausea.
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The nurse is caring for a patient receiving carbachol to treat glaucoma. The patient says he or she has stopped driving at night because he or she just does not see well in the dark. What is the best nursing diagnosis for this patient?
A) Anxiety related to poor vision B) Grief related to loss of driving privileges C) Risk for injury related to visual changes D) Pain related to altered vision
A nurse is caring for a client who has just been diagnosed with sleep apnea. Which of the following devices would be of most use to this client?
A) Nasal catheter B) Oxygen tent C) Transtracheal oxygen D) CPAP mask
A patient being assessed by the physician states, "I wet my pants every time I cough." The nurse recognizes this as which type of incontinence?
a. Reflex b. Overflow c. Urge d. Stress
A premature infant's scrotum will appear:
a. bifid. b. loose. c. ridged. d. smooth.