A patient with a history of migraines is at the clinic complaining of a throbbing headache. Which of the following
Questions should the nurse include in the assessment?

“Have you experienced any nausea or vomiting with your headache?”

“Are the lights in this room bothering you?”

“Have you noticed any confusion or clouded thinking?”

“Did you feel weak before the headache started or do you feel weak now?”

Answer and Explanation

The Correct Answer is A

Choice A rationale

Nausea and vomiting are common symptoms associated with migraines. Asking about these symptoms can help in assessing the severity of the migraine and planning appropriate interventions.

Choice B rationale

Sensitivity to light, also known as photophobia, is a common symptom of migraines. However, the presence of this symptom alone may not provide a comprehensive understanding of the patient’s condition.

Choice C rationale

While confusion or clouded thinking can occur with migraines, they are not as common as other symptoms such as nausea, vomiting, and sensitivity to light.

Choice D rationale

Feeling weak before the headache starts or currently feeling weak can be associated with migraines, but they are not the most common symptoms.

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Correct Answer is A

Explanation

Choice A rationale

Negligence refers to conduct that falls below the standard established by law for the protection of others against unreasonable risk of harm. A nurse leaving her shift early without notifying the charge nurse could be considered negligent if it results in harm to a patient.

Choice B rationale

Battery refers to the intentional and offensive or harmful touching of another person without their consent. This does not apply to the scenario provided.

Choice C rationale

Slander involves making false spoken statements that damage a person’s reputation. This does not apply to the scenario provided.

Choice D rationale

Libel involves making false written statements that damage a person’s reputation. This does not apply to the scenario provided.

A. “This is the medication that your doctor wants you to take.”. B. “Sometimes the same pill comes in a different color.”. C. “I will check your medication order again.”. D. “Let me explain the purpose of the medication.”. .

Correct Answer is C

Explanation

Choice A rationale

Telling the patient that this is the medication their doctor wants them to take does not address the patient’s concern about the color of the pill.

Choice B rationale

While it’s true that the same medication can sometimes come in different colors, this response does not confirm that the orange pill is the correct medication for the patient.

Choice C rationale

Checking the medication order again is the best response. This will ensure that the patient is receiving the correct medication.

Choice D rationale

Explaining the purpose of the medication does not address the patient’s concern about the color of the pill.

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A patient with a history of migraines is at the clinic complaining of a throbbing headache. Which of the followingQuestions should the nurse include in the assessment?

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Correct Answer is C

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A patient with a history of migraines is at the clinic complaining of a throbbing headache. Which of the following
Questions should the nurse include in the assessment?