EXAM 2 NURSE 315 with latest explained solutions.
EXAM 2 NURSE 315 with latest explained solutions. Which discharge instruction would the nurse provide to a patient with trigeminal neuralgia? - correct answers."Eat a diet that is high in protein." Which statement is accurate about Guillain-Barré syndrome (GBS)? - correct answers.Weakness of the limbs is acute and symmetrical. Which information is an important part of the health history for a patient with a new diagnosis of Guillain-Barré syndrome (GBS)? - correct answers.Recent viral infection Which body system is the priority focus for nursing care of the patient with Guillain-Barré syndrome? - correct answers.Respiratory Which noninvasive surgical procedure is often performed in patients with trigeminal neuralgia? - correct answers.Gamma knife radiosurgery Which assessment finding is associated with initial manifestations of tetanus? - correct answers.Stiffness in the jaw Which condition is associated with trismus? - correct answers.Tetanus How many years apart are tetanus and diphtheria toxoid boosters given? Record the answer using a whole number. __________ years - correct answers.10 When caring for a patient with Bell's palsy, the nurse would monitor for which complications? Select all that apply. - correct answers.Corneal abrasions Psychologic withdrawal Mucous membrane trauma A patient presents with an open wound. The nurse reviews the patient's history and determines that a tetanus booster is not necessary. This determination was made because the patient was immunized against tetanus within the past how many years? Record the answer as a whole number. _______ years - correct answers.5 Which assessment finding would cause the nurse to suspect trigeminal neuralgia in a patient who reports severe burning of the face? - correct answers.Facial twitching The nurse caring for a patient with Bell's palsy expects to find which key symptom on assessment? - correct answers.Unilateral lower motor facial weakness The nurse reviews a patient's medical record and notes tic douloureux. Which assessment finding would the nurse expect? - correct answers.Recurrent episodes of stabbing pain along the distribution of the trigeminal nerve Which cranial nerve is associated with Bell's palsy? - correct answers.VII Which points would the nurse teach a patient with trigeminal neuralgia who is scheduled for microvascular decompression of the trigeminal nerve? Select all that apply. - correct answers."It will be performed by making a small hole behind your ear. "It involves displacement of the blood vessels pressing on the nerve. A patient diagnosed with Guillain-Barré syndrome who has a weak gag reflex would be at risk for which complication? - correct answers.Aspiration of food into the airways Which surgical therapy for trigeminal neuralgia is a peripheral procedure? - correct answers.Glycerol rhizotomy In which order does Guillain-Barré syndrome (GBS) develop and resolve? - correct answers.1. The myelin layer of the affected nerves is lost. Correct2.The transmission of nerve impulses is slowed or stopped. Correct3.The muscle innervated by the damaged nerve undergoes denervation and atrophy. Correct4.The nerve undergoes slow remyelination. Correct5.The neurologic function returns in a proximal-to-distal pattern. Which topics would the nurse include in a teaching plan about self-care for a patient who is diagnosed with Bell's palsy? Select all that apply. - correct answers.Administration of corticosteroid medications Dark glasses and artificial tears to protect the eyes A patient with trigeminal neuralgia asks the nurse about how antiseizure drugs would prevent painful episodes. Which explanation would the nurse give in order to explain the mechanism of action of the drug? - correct answers.It blocks the transmission of nerve impulses from the trigeminal nerve Which treatment helps to control a patient's spasms that are caused by tetanus? - correct answers.Barbiturates A percutaneous radiofrequency rhizotomy procedure has been planned for a patient with trigeminal neuralgia. Which information would the nurse give to this patient about the procedure? Select all that apply. - correct answers.Patient may experience facial numbness after the surgery. Patient may have difficulty with eye movements after the procedure. An ice pack will be placed on the jaw for three to five hours after the procedure. Which assessment is a priority when caring for a patient who has been diagnosed with Guillain-Barré syndrome? - correct answers.Respiratory assessment Which surgery involves destruction of the sensory fibers of the trigeminal nerve using low-voltage current? - correct answers.Radiofrequency thermal lesioning Which complementary pain management measures would be included in the plan of care for a patient with trigeminal neuralgia? Select all that apply. - correct answers.Acupuncture Yoga Biofeedback Which instruction would be given to a patient who is diagnosed with Bell's palsy? - correct answers.Prevent corneal drying by instillation of ointment at night with an eye shield. A patient has undergone a percutaneous radiofrequency rhizotomy procedure for trigeminal neuralgia and has facial numbness and trigeminal motor weakness on the affected side. Which instructions would the nurse give this patient? Select all that apply. - correct answers.Avoid eating hot food or beverages. Protect the face from extreme temperatures. Check oral cavity after eating food for any residual food particles. A patient has had three episodes of trigeminal neuralgia and has stopped eating food, fearing that chewing would trigger pain. Which instruction would the nurse give that would help to maintain a proper nutritional status of this patient? Select all that apply. - correct answers.Advise the patient to consume food that is easy to chew. Advise the patient to eat small quantities of food more frequently. Advise the patient to eat food that is rich in carbohydrates and proteins. The nurse is preparing educational materials about the differences between Bell's palsy and trigeminal neuralgia. Which information would the nurse include about Bell's palsy? - correct answers.It affects the seventh cranial nerve, whereas trigeminal neuralgia affects the fifth.
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