Chapter 61 Nursing Management Peripheral Nerve And Spinal C
Chapter 61: Nursing Management: Peripheral Nerve and Spinal Cord Problems
Test Bank
MULTIPLE CHOICE
1. The nurse assessing a 54-year-old female patient with newly diagnosed trigeminal neuralgia
will ask the patient about
a. visual problems caused by ptosis.
b. triggers leading to facial discomfort.
c. poor appetite caused by loss of taste.
d. weakness on the affected side of the face.
ANS: B
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 facial weakness are not characteristics of trigeminal neuralgia.
DIF: Cognitive Level: Apply (application)
REF:
1464
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
2. Which action should the nurse take when assessing a patient with trigeminal neuralgia?
a. Have the patient clench the jaws.
b. Inspect the oral mucosa and teeth.
c. Palpate the face to compare skin temperature bilaterally.
d. Identify trigger zones by lightly touching the affected side.
ANS: B
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.
DIF: Cognitive Level: Apply (application)
REF:
1465
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
3. When evaluating outcomes of a glycerol rhizotomy for a patient with trigeminal neuralgia, the
nurse will
a. assess whether the patient is doing daily facial exercises.
b. question whether the patient is using an eye shield at night.
c. ask the patient about social activities with family and friends.
d. remind the patient to chew on the unaffected side of the mouth.
ANS: C
Because withdrawal from social activities is a common manifestation of trigeminal neuralgia, asking about social activities will help in evaluating whether
Test Bank
MULTIPLE CHOICE
1. The nurse assessing a 54-year-old female patient with newly diagnosed trigeminal neuralgia
will ask the patient about
a. visual problems caused by ptosis.
b. triggers leading to facial discomfort.
c. poor appetite caused by loss of taste.
d. weakness on the affected side of the face.
ANS: B
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 facial weakness are not characteristics of trigeminal neuralgia.
DIF: Cognitive Level: Apply (application)
REF:
1464
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
2. Which action should the nurse take when assessing a patient with trigeminal neuralgia?
a. Have the patient clench the jaws.
b. Inspect the oral mucosa and teeth.
c. Palpate the face to compare skin temperature bilaterally.
d. Identify trigger zones by lightly touching the affected side.
ANS: B
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.
DIF: Cognitive Level: Apply (application)
REF:
1465
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
3. When evaluating outcomes of a glycerol rhizotomy for a patient with trigeminal neuralgia, the
nurse will
a. assess whether the patient is doing daily facial exercises.
b. question whether the patient is using an eye shield at night.
c. ask the patient about social activities with family and friends.
d. remind the patient to chew on the unaffected side of the mouth.
ANS: C
Because withdrawal from social activities is a common manifestation of trigeminal neuralgia, asking about social activities will help in evaluating whether