A 19-year-old college student is brought to the emergency ...

[dbose]

A 19-year-old college student is brought to the emergency department with a severe headache he describes as, Like nothing I've ever had before. His temperature is 40  C, and he has a stiff neck.
 
  The nurse looks for other signs and symptoms of which problem?
  a.
  Head injury
  b.
  Cluster headache
  c.
  Migraine headache
  d.
  Meningeal inflammation

Question 2

A patient reports excruciating headache pain on one side of his head, especially around his eye, forehead, and cheek that has lasted approximately to 2 hours, occurring once or twice each day. The nurse should suspect:
 
  a. Hypertension.
  b. Cluster headaches.
  c. Tension headaches.
  d. Migraine headaches.

[brittrenee]

Answer to Question 1

ANS: D
The acute onset of neck stiffness and pain along with headache and fever occurs with meningeal inflammation. A severe headache in an adult or child who has never had it before is a red flag. Head injury and cluster or migraine headaches are not associated with a fever or stiff neck.

Answer to Question 2

ANS: B
Cluster headaches produce pain around the eye, temple, forehead, and cheek and are unilateral and always on the same side of the head. They are excruciating and occur once or twice per day and last to 2 hours each.