A nurse is caring for a client who has chronic migraine headaches.
The client asks if they had a cerebral aneurysm, which of the following responses should the nurse use?
If you had a cerebral aneurysm, you would have a stiff neck.
If you have a cerebral aneurysm, you typically will have no symptoms.
If you have a cerebral aneurysm, you would be having seizures.
If you have a cerebral aneurysm, you will experience nausea and vomiting.
The Correct Answer is B
Choice A rationale
While a stiff neck can be a symptom of a cerebral aneurysm, it is not a definitive sign. A stiff neck is more commonly associated with conditions like meningitis.
Choice B rationale
Most cerebral aneurysms do not cause symptoms until they rupture or become very large. Therefore, a person with a cerebral aneurysm typically will have no symptoms.
Choice C rationale
Seizures can occur if a cerebral aneurysm ruptures and causes bleeding in the brain. However, seizures are not a common symptom of unruptured cerebral aneurysms.
Choice D rationale
Nausea and vomiting can occur if a cerebral aneurysm ruptures and causes a sudden increase in intracranial pressure. However, these are not typical symptoms of an unruptured cerebral aneurysm.
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Correct Answer is D
Explanation
Choice A rationale
Providing nonpharmacological pain interventions to each client equally is an example of justice, not autonomy. Justice in healthcare refers to treating all patients fairly and equitably.
Choice B rationale
Fulfilling a promise to a client that they will return with their pain medication is an example of fidelity, not autonomy. Fidelity refers to being faithful to commitments and promises.
Choice C rationale
Administering a scheduled pain medication for a client who is having pain is an example of beneficence, not autonomy. Beneficence refers to taking actions that are of benefit to the patient.
Choice D rationale
Giving a client the choice of when to take a pain medication is an example of autonomy. Autonomy in healthcare refers to the patient’s right to make decisions about their own care.
Correct Answer is B
Explanation
Choice A rationale
While traumatic brain injuries (TBIs) can occur at any age, people in their 30s are not at the highest risk. Other factors, such as participation in high-risk activities or certain occupations, can increase the risk of TBI, but age alone in this group does not confer a higher risk.
Choice B rationale
People who play contact sports are at a higher risk of sustaining a TBI. Contact sports such as football, boxing, and hockey have a high incidence of TBIs, including concussions.
Choice C rationale
Abstaining from alcohol does not increase the risk of TBI. In fact, alcohol use is a risk factor for TBI, as it can increase the likelihood of falls, car accidents, and other events that can cause TBI1112.
Choice D rationale
Living in rural areas does not inherently increase the risk of TBI. However, certain factors associated with rural living, such as increased travel distances and limited access to trauma
care, can contribute to the severity of a TBI once it occurs. Subarachnoid hemorrhageSubarachnoid hemorrhage Explore
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