An 80-year-old patient comes to the clinic reporting frequent headaches. As the nurse begins the assessment, which action should occur first?

a. Move the interview to a darkened room to reduce stimulation.
b. Ask if the patient can hear clearly as the nurse speaks.
c. Ask the patient to rate the level of pain.
d. Initiate a neurologic assessment.


B
Before proceeding with any further assessment, the nurse should assess the patient's ability to hear questions. Impaired hearing could lead to inaccurate answers.

Nursing

You might also like to view...

A nurse and an unlicensed assistive personnel (UAP) are caring for a client with an open radical prostatectomy. Which comfort measure could the nurse delegate to the UAP?

a. Administering an antispasmodic for bladder spasms b. Managing pain through patient-controlled analgesia c. Applying ice to a swollen scrotum and penis d. Helping the client transfer from the bed to the chair

Nursing

All of the following are issues that affect metabolism EXCEPT:

1. liver disease. 2. infection and trauma. 3. temperature. 4. lactose intolerance.

Nursing

Which factors are cited as obstacles to improving men's health? Select all that apply

a. Reluctance to consult their primary care provider b. Emphasis of physical strength and competitiveness on masculinity c. Lack of a primary care provider d. Lack of access to health care by African American and Hispanic men

Nursing

The client who is prescribed valproic acid (Depakote) for seizure control would like to have a baby. Which statements should the nurse include in a discussion with this client?

Standard Text: Select all that apply. 1. "Since your epilepsy may flare up during pregnancy, your doctor will likely have you take a second antiepileptic medication." 2. "Thankfully, most modern antiepileptic medications will not interfere with your getting pregnant." 3. "Your current antiepileptic medication should not be used when you are pregnant." 4. "Folic acid supplementation is important for you." 5. "You should consider adopting a baby instead since there are so many problems associated with epilepsy and pregnancy."

Nursing