Which action should the nurse caring for a patient diagnosed with a cerebral aneurysm who reports a severe headache perform?
A) Sit with the patient for a few minutes.
B) Administer an analgesic.
C) Inform the nurse-manager.
D) Call the physician immediately.
Ans: D
Feedback: The headache may be an indication that the aneurysm is leaking. The nurse should notify the physician immediately. The physician will decide whether administration of an analgesic is indicated. Informing the nurse-manager isn't necessary. Sitting with the patient is appropriate once the physician has been notified of the change in the patient's condition.
You might also like to view...
The nurse is providing anticipatory guidance to a mother of a 5-month-old boy about introducing solid foods. Which statement by the mother indicates that effective teaching has occurred?
A) "I'll start with baby oatmeal cereal mixed with low-fat milk.". B) "The cereal should be a fairly thin consistency at first.". C) "I can puree the meat that we are eating to give to my baby.". D) "Once he gets used to the cereal, then we'll try giving him a cup.".
Which of the following involves obtaining and using information by asking who, what, when, where and how?
a. disciplined thinking c. problem solving b. critical thinking d. nursing process
In planning nursing interventions to increase bladder control in the patient with urinary incontinence, the nurse includes:
a. teaching the patient to use Kegel exercises b. clamping and releasing a catheter to increase bladder tone c. teaching the patient biofeedback mechanisms to suppress the urge to void d. counseling the patient concerning choices of incontinence containment devices
The perinatal nurse teaches the postpartum woman about warning signs regarding development of postpartum infection. Signs and symptoms that merit assessment by the health-care provider include the development of a fever and:
a. Breast engorgement b. Uterine tenderness c. Diarrhea d. Emotional lability