Difficulty: Medium
Average Score: 73%
Full-length
Upon admission to the hospital, a client reports having "the worst headache I've ever had." The nurse should give the highest priority to which action?
Correct answer
C
Rationale
A severe headache may indicate a neurological emergency (e.g., subarachnoid hemorrhage). Neuro checks (C) assess for deterioration. Pain medication (A), oxygen (B), and Foley (D) are secondary.