During a focused assessment and interview regarding the client's head and neck, the client reveals the occurrence of severe headaches intermittently over a three-day period
The client denies any aura, but admits to severe and unilateral pain over the right side of the face along with nasal congestion. Which diagnosis does the nurse anticipate based on this assessment data?
1. Cluster headache.
2. Classic migraine.
3. Tension headache.
4. Hydrocephalus.
Correct Answer: 1
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A home health care nurse is visiting an older client who lives alone after being discharged from the hospital after a coronary artery bypass graft. What finding in the home most causes the nurse to consider additional referrals?
a. Dirty carpets in need of vacuuming b. Expired food in the refrigerator c. Old medications in the kitchen d. Several cats present in the home
Residents of a nursing home taking which medication(s) are at risk for sleep disturbances as an adverse effect of the medication?
a. Celecoxib (Celebrex) b. Diltiazem (Cardizem) c. Venlafaxine (Effexor) d. Ipratropium (Atrovent) e. Oxycodone (Oxy-Contin) f. Guaifenesin (Robitussin)
A client with a nonproductive cough has been prescribed dextromethorphan HBr LiquiCaps. What instructions should the nurse provide the client to promote an optimal response to therapy?
A) Take the drug with a glass of milk. B) Swallow the whole tablet and do not chew it. C) Dissolve the tablet in water and take the drug. D) Take the drug on an empty stomach.
A nurse has a needlestick injury during caring for a client whose infectious status is unknown. What course of action should the nurse follow?
A) Avoid notifying the supervisor of the injury until the client's infectious status is confirmed. B) Avoid revealing the identity of the client or source of blood. C) Be tested for disease antibodies at appropriate intervals. D) Document the injury in writing after the client's infectious status is confirmed.