Nursing management of headache would include:
Dark quiet room
Massage
Pain medication
All of the above
The Correct Answer is D
Choice A: Dark quiet room is correct, as it can reduce the sensory stimulation and help the patient relax and rest.
Choice B: Massage is correct, as it can relieve muscle tension and improve blood circulation in the head and neck.
Choice C: Pain medication is correct, as it can reduce inflammation and block pain signals in the brain.
Choice D: All of the above is correct, as all of these interventions can help manage headache.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: Maintenance of patent airway is correct because it is the most essential and urgent intervention on all head injury patients. A patent airway means that the airway is clear and open for breathing. A head injury can cause obstruction, swelling, bleeding, or paralysis of the airway, leading to hypoxia, brain damage, or death. The nurse should assess and secure the airway as the first step in the primary survey and provide oxygen, suction, or intubation as needed.
Choice B: Maintenance of skin integrity is incorrect because it is not the priority intervention on all head injury patients. Skin integrity means that the skin is intact and free of wounds, infections, or pressure injuries. A head injury can cause skin breakdown, especially in immobilized or unconscious patients. The nurse should prevent and treat skin problems as part of the secondary survey and provide wound care, hygiene, or pressure relief as needed.
Choice C: Prevention of sleep deprivation is incorrect because it is not the priority intervention on all head injury patients. Sleep deprivation means that the patient does not get enough quality or quantity of sleep. A head injury can cause sleep disturbances, such as insomnia, hypersomnia, or altered sleep-wake cycle. The nurse should promote sleep hygiene and rest as part of the ongoing care and provide a quiet, dark, and comfortable environment as needed.
Choice D: Fluid and electrolyte balance is incorrect because it is not the priority intervention on all head injury patients. Fluid and electrolyte balance means that the patient has adequate and stable levels of fluids and minerals in the body. A head injury can cause fluid and electrolyte imbalances, such as dehydration, overhydration, or hyponatremia. The nurse should monitor and regulate fluid and electrolyte status as part of the ongoing care and provide oral or intravenous fluids, medications, or dietary modifications as needed.
Correct Answer is D
Explanation
Choice A: Careful, frequent monitoring of respiratory function, including blood gases is correct, as it can detect and prevent hypoxia, hypercapnia, and acid-base imbalance that can affect the brain and other organs.
Choice B: Monitor for signs and symptoms of complications is correct, as it can identify and treat potential problems such as hemorrhage, infection, seizures, or increased intracranial pressure.
Choice C: Monitor fluid status and laboratory data is correct, as it can maintain fluid and electrolyte balance and prevent dehydration, overhydration, or cerebral edema.
Choice D: All of the above is correct, as all of these assessments are important for the patient undergoing intracranial surgery.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.