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.

Provide a quiet, dark environment.

Apply heat to area for a migraine headache.

Administer prescribed analgesics.

Offer a massage for a tension headache.

Keep the head of the client's bed flat.

Offer prescribed antiemetic medication.

Answer and Explanation

Correct Answer : A,C,D,F

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.

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Correct Answer is D

Explanation

A. While many patients who receive radioactive iodine treatment (RAI) for hyperthyroidism may require thyroid replacement therapy afterward, this is not always immediate. The body’s response to the treatment varies, and thyroid function will need to be monitored. The initiation of thyroid replacement therapy depends on the individual's thyroid levels after treatment.
B. Radioactive iodine is contraindicated during breastfeeding because the iodine can pass into the breast milk, potentially exposing the infant to radiation. Mothers are usually advised to stop breastfeeding and to pump and discard milk for a period after the treatment (usually several weeks).
C. The general recommendation is that women should wait at least 6 months after receiving radioactive iodine treatment before trying to become pregnant, as the radiation could potentially affect fetal development during the first few months following the treatment.
D. After receiving radioactive iodine treatment, patients should limit contact with others (especially pregnant women and young children) for a period of time to reduce the risk of radiation exposure to others. This period varies based on the dose of radioactive iodine used, but patients are typically advised to follow specific precautions until their radiation levels have decreased to a safe level.

A. "The catheter under your skin should be changed every week." B. "Your pump will be filled with a rapid-acting insulin." C. "You should not remove the pump for any reason." D. "You will need to check your blood glucose level once each day."

Correct Answer is B

Explanation

A. The catheter (infusion set) should generally be changed every 2 to 3 days, not every week, to avoid infection or issues with insulin delivery.
B. Insulin pumps are typically filled with rapid-acting insulin (such as insulin aspart, lispro, or glulisine) because it starts working quickly to help control blood glucose levels throughout the day.
C. The pump can be removed temporarily for activities like showering or swimming, though the catheter or infusion set must remain in place. However, clients should not remove the pump for extended periods without consulting their healthcare provider.
D. Clients using an insulin pump should check their blood glucose levels multiple times per day, typically before meals and at bedtime, to ensure accurate insulin dosing and blood sugar control.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing discharge instructions for a female client after receiving radioactive iodine treatment. Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

The nurse is teaching a client with diabetes mellitus, type 2 who recently had an insulin pump placed. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

The nurse is caring for a client receiving treatment for myxedema. The nurse should explain that warm blankets are used to warm the client instead of heating pads for which of the following reasons?

The nurse is assessing a client with hyperthyroidism. Which of the following findings should the nurse expect? Select all that apply.

The home health nurse is visiting a client with diabetes mellitus, type 2 who reports nausea and vomiting for the past 3 days and not taking prescribed insulin because of the inability to "keep food down." Which of the following responses would be most appropriate for the nurse to make?

The nurse is caring for a client during treatment of myxedema and the client reports experiencing chest pain. Which of the following actions should be a priority for the nurse to take?

The nurse is assessing a client taking prescribed propylthiouracil (PTU) therapy. What should the nurse further assess?

The nurse is teaching a client with hypothyroidism the importance of increasing fluids. The nurse should explain that increasing fluids is important to prevent which of the following problems?

The nurse is administering prescribed levothyroxine to a client on the medical unit. How should this medication be given for best absorption?

The nurse is administering prescribed gabapentin (Neurontin) 1,800 mg, PO, daily, divided into 3 doses. The medication is supplied in 300 mg capsules. How many capsules should the nurse administer for 1 dose? Do not round your answer. Enter numeric value only.