front 1 The nurse is caring for a client diagnosed with trigeminal neuralgia. The client asks the nurse, "Why do I have so much pain?" The nurse would plan to make which appropriate response to the client? 1."It's a local reaction to nasal stuffiness." 2."It's due to a hypoglycemic effect on the cranial nerve." 3."Release of catecholamines with infection or stress leads to the pain." 4."Pain is due to stimulation of the affected nerve by pressure and temperature." | back 1 4."Pain is due to stimulation of the affected nerve by pressure and temperature." |
front 2 The home care nurse is preparing to visit a client with a diagnosis of trigeminal neuralgia (tic douloureux). When performing the assessment, the nurse would plan to ask the client which question to elicit the most specific information regarding this disorder? 1."Do you have any visual problems?" 2."Are you having any problems hearing?" 3."Do you have any tingling in the face region?" 4."Is the pain experienced a stabbing type of pain?" | back 2 4."Is the pain experienced a stabbing type of pain?" |
front 3 The nurse is providing discharge education to a client diagnosed with trigeminal neuralgia. Which medication will likely be prescribed upon discharge for this condition? 1.Lorazepam 2.Gabapentin 3.Carisoprodol 4.Chlordiazepoxide | back 3 2.Gabapentin |
front 4 The nurse is providing instructions to the client with trigeminal neuralgia regarding measures to take to prevent the episodes of pain. Which would the nurse instruct the client to do? 1.Prevent stressful situations. 2.Avoid activities that may cause fatigue. 3.Avoid contact with people with an infection. 4.Avoid activities that may cause pressure near the face. | back 4 4.Avoid activities that may cause pressure near the face. |
front 5 The nurse is caring for a client with trigeminal neuralgia (tic douloureux). The client asks for a snack and something to drink. The nurse would plan to offer which best snack to the client? 1.Cocoa with honey and toast 2.Hot herbal tea with graham crackers 3.Iced coffee and peanut butter and crackers 4.Vanilla wafers and room-temperature water | back 5 4.Vanilla wafers and room-temperature water |
front 6 A client with trigeminal neuralgia who is receiving carbamazepine 400 mg orally daily has a white blood cell (WBC) count of 2800 mm3 (2.8 × 109/L), blood urea nitrogen (BUN) of 17 mg/dL (6.12 mmol/L), sodium of 141 mEq/L (141 mmol/L), and uric acid of 5 mg/dL (0.3 mmol/L). On the basis of these laboratory values, the nurse would make which interpretation? 1.The WBC count is low, indicating a blood dyscrasia. 2.The BUN level is elevated, indicating nephrotoxicity. 3.The sodium level is low, indicating an electrolyte imbalance. 4.The uric acid level is elevated, indicating the risk for renal calculi. | back 6 1.The WBC count is low, indicating a blood dyscrasia. |
front 7 The nurse is administering medications to a client with trigeminal neuralgia. The nurse expects that which medication will be prescribed for pain relief? 1.Oxycodone plus aspirin 2.Carbamazepine and gabapentin 3.Acetaminophen and codeine sulfate 4.Meperidine hydrochloride and hydroxyzine | back 7 2.Carbamazepine and gabapentin |
front 8 The nurse is collecting data from a client and notes that the client is taking carbamazepine. The nurse determines that this medication has been prescribed to treat which condition? 1.Glaucoma 2.Diabetes mellitus 3.Parkinson's disease 4.Trigeminal neuralgia | back 8 4.Trigeminal neuralgia |
front 9 A client with a diagnosis of trigeminal neuralgia is started on a regimen of carbamazepine. The nurse provides instructions to the client about the side and adverse effects of the medication. Which client statement indicates an understanding of the side and adverse effects of the medication? 1."I will report a fever or sore throat to my doctor." 2."I must brush my teeth frequently to avoid damage to my gums." 3."If I notice ringing in my ears that doesn't stop, I'll seek medical attention." 4."If I notice a pink color to my urine, I will stop the medication and call my doctor." | back 9 1."I will report a fever or sore throat to my doctor." |
front 10 The nurse has given suggestions to a client with trigeminal neuralgia about strategies to minimize episodes of pain. The nurse determines that the client needs further teaching if the client makes which statement? 1."I will wash my face with cotton pads." 2."I'll have to start chewing on my unaffected side." 3."I should rinse my mouth if toothbrushing is painful." 4."I'll try to eat my food either very warm or very cold." | back 10 4."I'll try to eat my food either very warm or very cold." |
front 11 A client with trigeminal neuralgia is being treated with carbamazepine, 400 mg orally daily. Which value indicates that the client is experiencing an adverse effect to the medication? 1.Sodium level, 140 mEq/L (140 mmol/L) 2.Uric acid level, 4.0 mg/dL (240 mcmol/L) 3.White blood cell count, 3000 mm3 (3.0 × 109/L) 4.Blood urea nitrogen level, 10 mg/dL (3.6 mmol/L) | back 11 3.White blood cell count, 3000 mm3 (3.0 × 109/L) |
front 12 A client with trigeminal neuralgia tells the nurse that acetaminophen is taken daily for the relief of generalized discomfort. Which laboratory value would indicate toxicity associated with the medication? 1.Sodium level of 140 mEq/L (140 mmol/L) 2.Platelet count of 400,000 mm3 (400 × 109/L) 3.Prothrombin time of 12 seconds (12 seconds) 4.Direct bilirubin level of 2 mg/dL (34 mcmol/L) | back 12 4.Direct bilirubin level of 2 mg/dL (34 mcmol/L) |