An adolescent has frequent headaches accompanied by nausea and ...

[HCHenry]

An adolescent has frequent headaches accompanied by nausea and vomiting. What item is most appropriate for the nurse to include in the teaching plan for this adolescent patient?
 
  A.
  How to give him- or herself an injection of medication
  B.
  The maximum daily dose of acetaminophen (Tylenol)
  C.
  Ways to manage temporary ptosis or rhinorrhea
  D.
  What to do in case of a seizure during the headache

Question 2

A nurse in a well-child clinic notes that a 5-month-old is not able to hold her head up. Which action by the nurse is the most appropriate?
 
  A.
  Ask about other developmental milestones .
  B.
  Document the finding in the child's chart.
  C.
  Measure the child's head circumference.
  D.
  Obtain the child's length and weight.

[jharrington11]

Answer to Question 1

ANS: A
These symptoms are characteristic of a migraine. Migraines can be treated with a variety of medications, including injectable sumatriptan (Imitrex). The nurse would determine if this medication was included in the treatment plan and offer related education. The child might also take Tylenol, in which case he or she needs to know the maximal daily dose, but that is not as specific for migraines as sumatriptan is. Ptosis and rhinorrhea are characteristic of cluster headache. Headaches are not generally accompanied by seizures.

Answer to Question 2

ANS: C
Difficulty holding the head up by an appropriate age is a manifestation of hydrocephalus. Another sign of this disorder is an enlarging head, so the nurse measures the child's head and compares it to age-related norms. The other actions are appropriate, but not as specifically associated with hydrocephalus as measuring head circumference.