After determining that the patient has a tension-type headache, which patient statement supports the nurse's finding?

"My nose gets blocked during the headache."

"I feel some pressure on my neck during the headache."

"My eyes hurt during the headache."

“I can see bright lights before the onset of the headache:"

Answer and Explanation

The Correct Answer is B

A. "My nose gets blocked during the headache." Nasal congestion is a common symptom of cluster headaches, which are associated with autonomic symptoms such as tearing, rhinorrhea, and eyelid drooping. This is not characteristic of tension-type headaches.
B. "I feel some pressure on my neck during the headache." Tension-type headaches are often described as a "band-like" pressure or tightness around the head, with muscle tension in the neck and shoulders. The pain is typically bilateral, mild to moderate, and not aggravated by routine activities. Neck muscle stiffness or tenderness is a common feature.
C. "My eyes hurt during the headache." Eye pain is more commonly associated with migraine or cluster headaches. Cluster headaches often present with sharp, stabbing pain behind one eye, while migraines can cause ocular pain with light sensitivity.
D. "I can see bright lights before the onset of the headache." Seeing bright lights or an aura is a hallmark symptom of migraine headaches with aura, not tension-type headaches. Tension headaches do not typically have neurological symptoms like visual disturbances.

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Correct Answer is ["2"]

Explanation

Number of tablets = Desired dose (mg) / Available dose (mg/tablet)

= 650 mg / 325 mg/tablet

= 2 tablets

A. Provide a nonskid mat to alleviate plate movement. B. Remind the client to look for food on the left side of the tray. C. Encourage the use of the wide grip utensils. D. Encourage the client to use his right hand when feeding himself.

Correct Answer is B

Explanation

A: "Provide a non-skid mat to alleviate plate movement." Using a non-skid mat can help prevent the plate from moving, but it does not address the specific issue of homonymous hemianopsia, which affects the client's visual field and ability to see food on one side.
B: "Remind the client to look for food on the left side of the tray." This strategy directly addresses the challenge posed by homonymous hemianopsia, which results in the loss of vision in half of the visual field. Reminding the client to scan the left side of the tray helps ensure that they can locate and eat their food more effectively.
C: "Encourage the use of the wide grip utensils." While using wide grip utensils may assist with grip and dexterity, it does not specifically address the visual field deficit caused by homonymous hemianopsia. This option does not improve the client’s ability to see the food they need to eat.
D: "Encourage the client to use his right hand when feeding himself." Using the right hand may not be beneficial for the client. If the client has right-sided stroke effects, using the right hand could be difficult due to weakness or hemiparesis. Promoting the use of the unaffected side is usually more effective in fostering independence in eating.

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After determining that the patient has a tension-type headache, which patient statement supports the nurse's finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer aspirin 650 mg PO every 12 hr. The amount available is aspirin 325 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

A nurse is caring for a client who had a right-sided stroke and is exhibiting homonymous hemianopsia when eating. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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