A client who has a recent closed head injury reports a severe headache and is restless. Which of the following is an appropriate nursing intervention?

Place a cool cloth on the forehead.

Elevate the head of the bed 30 degrees.

Administer morphine 2 mg IV.

Prepare for a lumbar puncture.

Answer and Explanation

The Correct Answer is B

Choice A reason:Placing a cool cloth on the forehead may provide comfort but does not address intracranial pressure, which could be causing the headache[^10^].

Choice B reason:Elevating the head of the bed 30 degrees helps to decrease intracranial pressure and can alleviate headache symptoms associated with a closed head injury[^10^].

Choice C reason:Administering morphine for pain relief should be done with caution, as it can depress respiration and mask changes in the level of consciousness, which are important indicators of neurological status[^10^].

Choice D reason:A lumbar puncture is contraindicated in the presence of increased intracranial pressure due to the risk of brain herniation[^10^].

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Correct Answer is A

Explanation

Choice A reason:Pain that is relieved by food intake is a classic symptom of duodenal ulcers, as eating can neutralize stomach acid temporarily, providing relief.

Choice B reason:Pain radiating down the right arm is not a typical symptom of a duodenal ulcer; it is more commonly associated with cardiac issues.

Choice C reason:Nausea and vomiting can be associated with duodenal ulcers, but they are not as specific as pain relief by food intake.

Choice D reason:Weight loss can occur with duodenal ulcers due to pain and eating avoidance, but the key symptom that relates directly to the ulcer is pain relief after food intake.

A. BUN 8 mg/dL and creatinine 0.7 mg/dL B. BUN 45 mg/dL and creatinine 8 mg/dL C. BUN 10 mg/dL and creatinine 0.3 mg/dL D. BUN 23 mg/dL and creatinine 1.0 mg/dL

Correct Answer is B

Explanation

Choice A reason: A BUN level of 8 mg/dL and creatinine level of 0.7 mg/dL are within normal ranges and would not be expected in a client with CKD².

Choice B reason: Elevated BUN and creatinine levels, such as 45 mg/dL and 8 mg/dL respectively, are indicative of impaired kidney function, which is consistent with CKD².

Choice C reason: A BUN level of 10 mg/dL and creatinine level of 0.3 mg/dL are lower than the expected values for a client with CKD, indicating better kidney function than typically seen in CKD².

Choice D reason: A BUN level of 23 mg/dL and creatinine level of 1.0 mg/dL may be slightly elevated but are not as indicative of CKD as the values in choice B².

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A client who has a recent closed head injury reports a severe headache and is restless. Which of the following is an appropriate nursing intervention?

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Naxlex Comprehensive Predictor Exams

A nurse is admitting a client with a history of duodenal ulcer. To determine if the client's current symptoms are related to this information, the nurse should assess the client for which manifestations of a duodenal ulcer?

Correct Answer is A

Explanation

A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease (CKD). Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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