A nurse reviews the chart of a client seen at the nursing clinic for treatment of tension headache. Which client complaint did the nurse enter into the nursing record?

1. "When the music plays so loud, my head starts to pound."
2. "My whole cheek hurts, and it feels like I have bruising under my eye."
3. "Usually there is just this steady pressure around my entire head."
4. "I can tell it's coming on; sometimes I vomit before it hits."


3
Rationale: Steady pressure in the head expresses the classic symptom of tension headache. Vomiting prior to the onset of the headache is more typical of a migraine. Facial pain could be expressing a disease-related headache. A headache after hearing loud music is more typical of a conversion headache.

Nursing

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