A hospitalized 31-year-old patient with a history of cluster headache awakens during the night with ...

A hospitalized 31-year-old patient with a history of cluster headache awakens during the night with a severe stabbing headache. Which action should the nurse take first?
 
  a. Start the ordered PRN oxygen at 6 L/min.
  b. Put a moist hot pack on the patient's neck.
  c. Give the ordered PRN acetaminophen (Tylenol).
  d. Notify the patient's health care provider immediately.

Question 2

Which assessment is most important for the nurse to make regarding a patient with myasthenia gravis?
 
  a. Pupil size
  b. Grip strength
  c. Respiratory effort
  d. Level of consciousness

Question 3

Following a thymectomy, a 62-year-old male patient with myasthenia gravis receives the usual dose of pyridostigmine (Mestinon). An hour later, the patient complains of nausea and severe abdominal cramps. Which action should the nurse take first?
 
  a. Auscultate the patient's bowel sounds.
  b. Notify the patient's health care provider.
  c. Administer the prescribed PRN antiemetic drug.
  d. Give the scheduled dose of prednisone (Deltasone).