A young male client visits a nurse with a complaint of chronic tension headaches. Which of the ff is the most appropriate nursing instruction to manage the client?

Correct Answer: C

Rationale: The most appropriate nursing instruction to manage a young male client with chronic tension headaches is counseling on alternate therapies. Chronic tension headaches can be caused or exacerbated by various factors such as stress, poor posture, eyestrain, or muscular tension. Counseling on alternate therapies can include techniques such as relaxation exercises, stress management strategies, mindfulness practices, physical therapy, or massage therapy. These alternative therapies can help the client manage stress, improve posture, and reduce muscle tension, which may help alleviate the frequency or intensity of tension headaches. It is important to explore non-pharmacological approaches before considering medication, especially for chronic conditions like tension headaches.

Correct Answer: B

Rationale: In the Rinne test, a tuning fork is placed first on the mastoid bone behind the ear to test bone conduction, and then beside the ear to test air conduction. A normal finding in the Rinne test is when air conduction (heard beside the ear) is longer than bone conduction (heard on the mastoid bone) in both ears. This indicates that sound waves travel through the air better than through bone. If air conduction is heard longer than bone conduction, it suggests normal auditory acuity.

Correct Answer: B

Rationale: The nurse should advise the client and her family members to apply insect repellent to clothing and exposed skin to prevent insect bites in the future. Insect repellents containing DEET, picaridin, or oil of lemon eucalyptus are effective in repelling mosquitoes, ticks, and other insects that may cause bites. By regularly applying insect repellent, they can reduce the risk of getting bitten and prevent a recurrence of the ailment. Other preventive measures such as wearing long sleeves and pants, avoiding heavily wooded or grassy areas, and using screens on windows and doors can also be beneficial in preventing insect bites.

Correct Answer: C

Rationale: The most appropriate nursing instruction to manage a young male client with chronic tension headaches is counseling on alternate therapies. Chronic tension headaches can be caused or exacerbated by various factors such as stress, poor posture, eyestrain, or muscular tension. Counseling on alternate therapies can include techniques such as relaxation exercises, stress management strategies, mindfulness practices, physical therapy, or massage therapy. These alternative therapies can help the client manage stress, improve posture, and reduce muscle tension, which may help alleviate the frequency or intensity of tension headaches. It is important to explore non-pharmacological approaches before considering medication, especially for chronic conditions like tension headaches.

Correct Answer: D

Rationale: Paranasal sinuses are considered unfavorable sites in rhabdomyosarcoma staging.