The nurse has completed post-operative teaching for a client with a new vagal nerve stimulator (VNS). Which of the following statements by the client would indicate the need for more teaching?

My doctor can change the settings as needed.

I am so glad that I will never have another seizure.

This devise will send electrical signals to my brain.

I know a potential complication is a cough or throat spasm.

Answer and Explanation

The Correct Answer is B

A. It is correct that the doctor can change the settings of the VNS as needed using a special programming device. This is a true and expected understanding.
B. Saying "I will never have another seizure" indicates a misunderstanding. While the vagal nerve stimulator can reduce the frequency and severity of seizures, it is not a cure and does not guarantee complete seizure prevention. This statement reflects unrealistic expectations and suggests the need for further teaching.
C. The VNS sends electrical signals to the brain via the vagus nerve to help prevent seizure activity—this is an accurate understanding of its function.
D. Cough or throat spasm is a known side effect or complication of VNS, so this statement reflects appropriate understanding.

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Correct Answer is ["A","C","D","F"]

Explanation

A. A quiet, dark environment is often helpful for clients with headaches, especially migraines. Bright lights and loud noises can exacerbate symptoms, so minimizing environmental stimuli can help the client rest and reduce discomfort.
B. Heat is typically not recommended for migraine headaches, as it can sometimes worsen the pain. For migraines, cold compresses or ice packs on the forehead may provide more relief. Heat is generally more effective for tension headaches or muscle-related pain.
C. Analgesics such as over-the-counter pain relievers (e.g., acetaminophen, ibuprofen) or prescribed medications can help manage headache pain and are often part of the treatment plan for headaches.
D. A gentle massage can help relieve the muscle tension that often contributes to tension headaches. Massaging the neck, shoulders, and scalp may help reduce headache symptoms.
E. Keeping the head of the bed flat is not generally recommended for headache relief. In fact, elevating the head of the bed slightly may help relieve pressure and improve comfort, especially in cases of sinus headaches or headaches related to congestion.
F. Many clients with headaches, especially migraines, may experience nausea or vomiting. Administering prescribed antiemetic medications can help alleviate these symptoms and improve the client’s comfort.

Correct Answer is ["35"]

Explanation

Insulin syringes are commonly marked in units rather than milliliters (mL). If it's a U-100 insulin syringe, each marking represents 1 unit. The plunger in the image above is at 35 indicating 35 units of insulin.

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The nurse has completed post-operative teaching for a client with a new vagal nerve stimulator (VNS). Which of the following statements by the client would indicate the need for more teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning care for a client experiencing headaches. Which of the following interventions should the nurse include in the client's plan of care? Select all that apply.

Correct Answer is ["A","C","D","F"]

Explanation

How many units is the arrow pointing to on the syringe below? Enter numeric value only

Correct Answer is ["35"]

Explanation

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The nurse is teaching a female client about ways to prevent a migraine. Which of the following information should the nurse include in the teaching?.

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