Davis Advantage for Medical-Surgical Nursing,
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A patient reports recurrent headaches that occur after long periods of
missed meals and improve after eating. Which nursing teaching is most
appropriate to help reduce recurrence?
A. Skip breakfast to avoid triggering headaches
B. Maintain regular meals and adequate hydration
C. Increase caffeine intake whenever a headache begins
D. Remain in a dark room for several hours each morning
Correct Answer:
B. Maintain regular meals and adequate hydration
Rationale:
Regular meals and adequate hydration can help reduce common
headache triggers. Skipping meals can contribute to headaches, and
excessive caffeine may worsen headache patterns or contribute to
withdrawal symptoms. Remaining in a dark room is not a preventive
strategy.
Question 2
A patient with a history of migraines reports sensitivity to light and
nausea during an acute headache. Which environmental intervention
should the nurse implement first?
A. Increase room lighting for safety checks
B. Encourage frequent television viewing for distraction
C. Reduce environmental light and noise
D. Encourage vigorous exercise
, Correct Answer:
C. Reduce environmental light and noise
Rationale:
Reducing light and noise may decrease sensory stimulation during a
migraine. Increasing stimulation, vigorous exercise, or television
exposure may worsen symptoms. Appropriate assessment and
prescribed therapy should also be provided.
Question 3
The nurse is assessing a patient with a suspected brain tumor. Which
finding requires the most immediate follow-up?
A. Mild fatigue after activity
B. New-onset seizure activity
C. Occasional difficulty sleeping
D. Decreased appetite for 1 day
Correct Answer:
B. New-onset seizure activity
Rationale:
A new seizure can occur with intracranial pathology and may indicate
cortical irritation or increased intracranial pressure. The other findings
are less immediately concerning and are not as specific for acute
neurologic deterioration.
Question 4
A patient with a brain tumor develops increasing headache, vomiting,
and decreasing level of consciousness. Which complication should the
nurse suspect?
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A patient reports recurrent headaches that occur after long periods of
missed meals and improve after eating. Which nursing teaching is most
appropriate to help reduce recurrence?
A. Skip breakfast to avoid triggering headaches
B. Maintain regular meals and adequate hydration
C. Increase caffeine intake whenever a headache begins
D. Remain in a dark room for several hours each morning
Correct Answer:
B. Maintain regular meals and adequate hydration
Rationale:
Regular meals and adequate hydration can help reduce common
headache triggers. Skipping meals can contribute to headaches, and
excessive caffeine may worsen headache patterns or contribute to
withdrawal symptoms. Remaining in a dark room is not a preventive
strategy.
Question 2
A patient with a history of migraines reports sensitivity to light and
nausea during an acute headache. Which environmental intervention
should the nurse implement first?
A. Increase room lighting for safety checks
B. Encourage frequent television viewing for distraction
C. Reduce environmental light and noise
D. Encourage vigorous exercise
, Correct Answer:
C. Reduce environmental light and noise
Rationale:
Reducing light and noise may decrease sensory stimulation during a
migraine. Increasing stimulation, vigorous exercise, or television
exposure may worsen symptoms. Appropriate assessment and
prescribed therapy should also be provided.
Question 3
The nurse is assessing a patient with a suspected brain tumor. Which
finding requires the most immediate follow-up?
A. Mild fatigue after activity
B. New-onset seizure activity
C. Occasional difficulty sleeping
D. Decreased appetite for 1 day
Correct Answer:
B. New-onset seizure activity
Rationale:
A new seizure can occur with intracranial pathology and may indicate
cortical irritation or increased intracranial pressure. The other findings
are less immediately concerning and are not as specific for acute
neurologic deterioration.
Question 4
A patient with a brain tumor develops increasing headache, vomiting,
and decreasing level of consciousness. Which complication should the
nurse suspect?
