A client complains of daily headaches. Which items will the nurse ...

[armygirl]

A client complains of daily headaches. Which items will the nurse include in the focused interview for this client to learn more about the client's headaches?
 
  Select all that apply.
  1. Rate your pain on a scale from 0 to 10, with 0 being no pain and 10 the worst.
  2. Daily headaches are not of any concern.
  3. Is there anything that relieves the pain, like resting or medication?
  4. Is the pain sharp, dull, steady, or throbbing?
  5. Have you had a recent cold or infection?

Question 2

The client is complaining of pain in the temporomandibular joint. During the nurse's assessment of this client, which pieces of information does the nurse expect to find? Select all that apply.
 
  1. The client has been under a great deal of stress due to a recent divorce.
  2. The client has developed hypothyroidism.
  3. The client has lost tooth enamel due to nighttime teeth grinding.
  4. The client has developed hypotension.
  5. The client has developed severe tension headaches.

[scottmt]

Answer to Question 1

Correct Answer: 1, 3, 4, 5
The nurse should gather as much information about the client's pain as possible, including the pain's location, intensity, character, and location. The nurse should determine if there is anything that helps alleviate the client's pain, such as resting, medication, or exercise. Sometimes headaches can be associated with recent colds or infections. Telling the client the daily headaches are not concerning is inappropriate and does not allow the nurse to assess the client's pain.

Answer to Question 2

Correct Answer: 1, 3, 5