Trigeminal Neuralgia, Bell's Palsy, Guillain-Barre Training Exam And Correct Answers.
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Course
Guillain-Barré Syndrome
Institution
Guillain-Barré Syndrome
1. When assessing a patient with newly diagnosed trigeminal neuralgia, the nurse will ask the patient about
a. triggers that lead to facial pain.
b. visual problems caused by ptosis.
c. poor appetite caused by a loss of taste.
d. decreased sensation on the affected side. - Answer Correct Ans...
Trigeminal Neuralgia, Bell's Palsy,
Guillain-Barre Training Exam And
Correct Answers.
1. When assessing a patient with newly diagnosed trigeminal neuralgia, the nurse will ask the patient
about
a. triggers that lead to facial pain.
b. visual problems caused by ptosis.
c. poor appetite caused by a loss of taste.
d. decreased sensation on the affected side. - Answer Correct Answer: A.
Rationale: The major clinical manifestation of trigeminal neuralgia is severe facial pain that is triggered
by cutaneous stimulation of the nerve. Ptosis, loss of taste, and numbness are not characteristics of
trigeminal neuralgia, although ptosis and numbness may occur after therapy, and poor appetite may be
associated with pain stimulated by eating.
Cognitive Level: Application Text Reference: p. 1581
2. During assessment of the patient with a recurrence of symptoms of trigeminal neuralgia, the nurse
should
a. examine the mouth and teeth thoroughly.
b. have the patient clench and relax the jaw and eyes.
c. identify trigger zones by lightly touching the affected side.
d. gently palpate the face to compare skin temperature bilaterally. - Answer Correct Answer: A
Rationale: Oral hygiene is frequently neglected because of fear of triggering facial pain. Having the
patient clench the facial muscles will not be useful because the sensory branches of the nerve are
affected by trigeminal neuralgia. Light touch and palpation may be triggers for pain and should be
avoided.
Cognitive Level: Application Text Reference: p. 1583
, 3. A patient with trigeminal neuralgia has a glycerol rhizotomy. During a follow-up visit after the
rhizotomy, the nurse will evaluate that the patient has had a successful outcome for the surgery if the
patient
a. uses an eye shield at night to protect the cornea from injury.
b. develops and implements a daily routine of facial exercises.
c. is careful to chew foods on the unaffected side of the mouth.
d. talks about enjoying social activities with family and friends.
Correct Answer: D
Rationale: Because withdrawal from social activities is a common manifestation of trigeminal neuralgia,
enjoyment of social activities indicates successful reduction of symptoms. Glycerol rhizotomy does not
damage the corneal reflex or motor functions of the trigeminal nerve, so there is no need to use an eye
shield, do facial exercises, or take precautions with chewing.
Cognitive Level: Application Text Reference: pp. 1583-1584
Nur - Answer ...
4. When the nurse is planning care for a hospitalized patient who is experiencing an acute episode of
trigeminal neuralgia, an appropriate action to include is
a. teach facial and jaw relaxation techniques.
b. assess intake and output and dietary intake.
c. apply ice packs for no more than 20 minutes.
d. spend time at the bedside talking with the patient. - Answer Correct Answer: B
Rationale: The patient with an acute episode of trigeminal neuralgia may be unwilling to eat or drink, so
assessment of nutritional and hydration status is important. Because stimulation by touch is the
precipitating factor for pain, relaxation of the facial muscles will not improve symptoms. Application of
ice is likely to precipitate pain. The patient will not want to engage in conversation, which may
precipitate attacks.
Cognitive Level: Application Text Reference: p. 1583
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