Which instruction would the nurse give the patient to assess the trigeminal nerve quizlet

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What body system is the major focus for nursing care of the patient with Guillain-Barré syndrome?

Urinary

Cardiac

Respiratory

Gastrointestinal

Respiratory

The oral intake of a patient with trigeminal neuralgia is sharply reduced, and the patient's nutritional status is compromised. What is the priority nursing intervention?

Serving lukewarm food

Ensuring that the food is easy to chew

Providing food through a nasogastric tube

Encouraging intake of foods high in protein

Providing food through a nasogastric tube

Which of the following assessment findings demonstrates effective use of carbamazepine in the patient with trigeminal neuralgia?

Less difficulty swallowing.

Ability to close both eyes.

Presence of the corneal reflex.

Less frequent and severe facial pain.

Which discharge instruction should the nurse provide to a patient with trigeminal neuralgia?

"Eat a diet that is high in protein."

"Eat low-calorie foods that are easy to chew."

"Avoid hygiene activities during periods of analgesia."

"Use a hard-bristled toothbrush to clean dental plaque."

"Eat a diet that is high in protein."

A patient develops Bell's palsy weeks after being diagnosed with a middle ear infection. What explanation should the nurse give when asked about the cause of the condition?

A blood clot causes a small stroke, affecting the facial muscles.

The eustachian tube becomes blocked, leading to a bulging eardrum.

The flow of cerebrospinal fluid (CSF) in the brain is blocked temporarily.

A virus causes inflammation, which leads to paralysis of the facial nerve.

The nurse is providing care to a patient with trismus. Which associated condition does the nurse suspect?

Tetanus

Botulism

Neurosyphilis

Guillain-Barré syndrome

Tetanus

While assessing a patient, the health care provider observes that the patient has trismus and suspects the patient has a tetanus infection. How would the nurse describe trismus and its relation to tetanus infection?

Trismus is stiffness of the jaw and is one of the first manifestations of tetanus.

Trismus refers to spasms of the laryngeal and respiratory muscles and is one of the last stages of tetanus.

Trismus causes extreme arching of the back and retraction of the head and is unrelated to tetanus.

Trismus is the rigidity of neck muscles, back, abdomen, and extremities and is one of the first manifestations of tetanus.

Trismus is stiffness of the jaw and is one of the first manifestations of tetanus.

The nurse is presenting information to a group of nursing students about the incidence of trigeminal neuralgia. What is appropriate for the nurse to include?

It usually affects only one side of the body.

It occurs more often in men than in women.

It is a rare cause of nerve pain among Americans.

It is most common in 20- to 30-year-old individuals.

It usually affects only one side of the body.

The nurse is preparing educational materials about Guillain-Barre syndrome (GBS) and Bell's palsy. How is GBS different than Bell's palsy?

GBS affects cranial nerves.

GBS is a mononeuropathy.

GBS is a potentially fatal disorder.

GBS results in demyelination of the nerve.

GBS is a potentially fatal disorder.

The nurse is caring for a patient with trigeminal neuralgia. What conservative therapies are appropriate to be included on the patient's plan for treatment? Select all that apply.

Acupuncture

Vitamin therapy

Glycerol rhizotomy

Tricyclic antidepressant

Microvascular decompression

Acupuncture

Vitamin therapy

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.

5 years

The nurse is providing care to a patient with trigeminal neuralgia. Which first-line drug prescribed to this patient does the nurse prepare to administer?

Baclofen

Gabapentin

Amitriptyline

Carbamazepine

A patient, injured at work with an open cut, asks the occupational health nurse whether a "tetanus shot" is needed. The nurse should base the response on which of the following facts?

Whether the patient had tetanus in the past.

When the patient last received a tetanus toxoid booster.

Whether the patient is experiencing any stiffness in the jaw.

Whether the patient has received antibiotics in the past six weeks.

When the patient last received a tetanus toxoid booster.

Which noninvasive surgical procedure is often performed in patients with trigeminal neuralgia?

Glycerol rhizotomy

Gamma knife radiosurgery

Microvascular decompression

Percutaneous radiofrequency rhizotomy

Gamma knife radiosurgery

The nurse teaches a community group about tetanus prevention and immunizations. The nurse should instruct the adults to receive a tetanus and diphtheria toxoid booster, then wait how many years until another is received?

10 years

The nurse is preparing educational materials about the differences between Bell's palsy and trigeminal neuralgia. What information should the nurse include about Bell's palsy?

It is more common than trigeminal neuralgia.

It affects the seventh cranial nerve, whereas trigeminal neuralgia affects the fifth.

It causes severe pain, whereas trigeminal neuralgia causes drooping of the mouth.

It can affect any age group, whereas trigeminal neuralgia is mostly seen in children.

It affects the seventh cranial nerve, whereas trigeminal neuralgia affects the fifth.

Which cranial nerve does the nurse know is associated with tic douloureux?

III

VII

A patient is diagnosed with Bell palsy. Which cranial nerve does the nurse teach the patient is associated with the disorder?

VII

XII

VII

A patient has undergone a percutaneous radiofrequency rhizotomy procedure for trigeminal neuralgia and has facial numbness and trigeminal motor weakness on the affected side. What instructions should the nurse give this patient? Select all that apply.

Avoid eating hot food or beverages.

Regularly shave using a razor blade.

Avoid moving the jaw as much as possible.

Protect the face from extreme temperatures.

Check oral cavity after eating food for any residual food particles.

Avoid eating hot food or beverages.

Protect the face from extreme temperatures.

Check oral cavity after eating food for any residual food particles.

The nurse that is caring for a patient with Bell's palsy should monitor for what complications? Select all that apply.

Weight gain

Corneal abrasions

Respiratory failure

Psychologic withdrawal

Mucous membrane trauma

Corneal abrasions

Psychologic withdrawal

Mucous membrane trauma

The nurse would assess for trigeminal neuralgia in patients with which conditions? Select all that apply.

Hypotension

Multiple sclerosis

Viral immunization

Food contamination

Herpesvirus infection

The nurse recognizes that which medications are considered to be first-line drugs for treatment of trigeminal neuralgia? Select all that apply.

Baclofen

Phenytoin

Topiramate

Gabapentin

Clonazepam

Carbamazepine

Phenytoin

Topiramate

Clonazepam

Carbamazepine

The nurse provides preoperative information to a patient with trigeminal neuralgia. The nurse explains that the surgery involves destruction of the sensory fibers of the trigeminal nerve using low-voltage current. What surgery is planned for the patient?

Glycerol rhizotomy

Gamma knife radiosurgery

Microvascular decompression

Percutaneous radiofrequency rhizotomy

The nurse expects a prescription for what treatment to help control a patient's spasms that are caused by tetanus?

Opioids

Barbiturates

Metronidazole

Tetanus immune globulin

Barbiturates

A nurse is preparing a nursing care plan for a patient with trigeminal neuralgia. What information should the nurse elicit during the patient's health history to aid in planning? Select all that apply.

Food habits

Bowel habits

Bladder habits

Self-medication to decrease pain

Frequency of attacks and triggers

Food habits

Self-medication to decrease pain

Frequency of attacks and triggers

A patient with Guillain-Barré syndrome is admitted to the medical-surgical floor. What does the nurse understand regarding this disorder?

Pain is generally worse during the day.

It affects males twice as often as females.

Heart failure (HF) is the most serious complication of this condition.

Patients also may have syndrome of inappropriate antidiuretic hormone (SIADH).

The nurse recalls that which surgical therapy for trigeminal neuralgia is a peripheral procedure?

Glycerol rhizotomy

Gamma knife radiosurgery

Microvascular decompression

Percutaneous radiofrequency rhizotomy

Glycerol rhizotomy

Which instruction should be given to a patient who is diagnosed with Bell's palsy?

Sit upright for meals and follow a thickened liquid high protein diet.

Prevent corneal drying by instillation of ointment at night with an eye shield.

Continue prescribed corticosteroid eye drops until the eye can close properly.

Complete the full course of prescribed antibiotics even if eye drainage is nonpurulent.

Prevent corneal drying by instillation of ointment at night with an eye shield.

When providing care to a patient on a neurologic unit, the nurse notes that the patient is experiencing areflexia. Which diagnosis does the nurse anticipate for this patient?

Tetanus

Botulism

Neurosyphilis

Guillain-Barré syndrome

A patient asks the nurse about the differences between trigeminal neuralgia and Bell's palsy. What symptoms of trigeminal neuralgia should the nurse include in the teaching? Select all that apply.

Hearing deficits

Tearing of the eye

Pain behind the ear

Drooping of the mouth

Pain on the side of the nose

Tearing of the eye

Pain on the side of the nose

A patient's surgical therapy for trigeminal neuralgia resulted in an altered corneal reflex. The nurse provides education about long-term management of the reflex. Which statements made by the patient indicate the need for further teaching? Select all that apply.

"I will examine my eyes regularly."

"I will go for an annual dental visit."

"I will check my oral cavity after meals."

"I will chew food on the unaffected side."

"I will avoid ice cream and cold beverages."

"I will go for an annual dental visit."

"I will avoid ice cream and cold beverages."

The nurse is preparing educational materials about the differences between the facial characteristics of Bell's palsy and those of trigeminal neuralgia. What characteristics of Bell's palsy should the nurse include? Select all that apply.

Facial grimacing

Unable to whistle

Flat nasolabial fold

Unable to open the eyelid

Frequent tearing of the eye

Unable to whistle

Flat nasolabial fold

The nurse reviews a patient's medical record and notes tic douloureux. The nurse expects what assessment finding?

Severe, bilateral pain along the distribution of the trigeminal nerve

Recurrent episodes of stabbing pain along the distribution of the trigeminal nerve

Cycles of pain along the trigeminal nerve and refractoriness that continues for hours

Specific point along the trigeminal nerve that can initiate pain when it is lightly touched

Recurrent episodes of stabbing pain along the distribution of the trigeminal nerve

A patient with trigeminal neuralgia is scheduled for microvascular decompression of the trigeminal nerve. What is appropriate for the nurse to teach the patient about the procedure? Select all that apply.

"It may cause loss of sensation in the cornea."

"It may cause some amount of numbness in your face."

"It will involve injection of glycerol into the trigeminal nerve."

"It will be performed by making a small hole behind your ear."

"It is one of the safest surgical treatments for trigeminal neuralgia."

"It involves displacement of the blood vessels pressing on the nerve."

"It will be performed by making a small hole behind your ear."

"It involves displacement of the blood vessels pressing on the nerve."

The nurse differentiates between the clinical manifestations of Guillain-Barre syndrome (GBS) that are related to autonomic nervous system dysfunction and those that are related to cranial nerve involvement. What does the nurse identify as a clinical manifestation that is related to the autonomic nervous system?

Dysphagia

Tachycardia

Facial flushing

Facial weakness

Facial flushing

The nurse is providing teaching to a group of nursing students about the actions of the primary medications used to treat trigeminal neuralgia. What is appropriate for the nurse to include in the education? Select all that apply.

Lamotrigine blocks the nerve firing.

Amitriptyline stabilizes the neuronal membrane.

Nortriptyline can be used to treat constant burning.

Baclofen is a first-line drug for treating the condition.

Opioids are highly effective in controlling the nerve pain.

Analgesics help to control the pain associated with this condition.

Lamotrigine blocks the nerve firing.

Nortriptyline can be used to treat constant burning.

The nurse is giving home instructions to a patient recently diagnosed with Bell's palsy. Which comments by the nurse are most appropriate? Select all that apply.

"It is important to maintain good nutrition."

"Full recovery generally occurs in 3 to 6 months."

"Cold packs need to be applied four times a day for 20 minutes each time."

"Dark glasses will help protect your eyes and help to cover up the paralysis."

"Chew your food on the same side as the paralysis to prevent the facial muscle from weakening."

"It is important to maintain good nutrition."

"Full recovery generally occurs in 3 to 6 months."

"Dark glasses will help protect your eyes and help to cover up the paralysis."

A patient who came to the hospital two days ago is diagnosed with Guillain Barré syndrome. Plasmapheresis is planned to treat the condition. What criteria are used to determine if this treatment is effective? Select all that apply.

Urinary output is at least 30 mL per hour.

Stabilization of blood pressure and pulse rate.

Symptoms of paralysis stop progressing and abate.

Lung vital capacity and arterial blood gases are stable.

Blood urea nitrogen (BUN) and creatinine levels are within normal levels.

Stabilization of blood pressure and pulse rate.

Symptoms of paralysis stop progressing and abate.

Lung vital capacity and arterial blood gases are stable.

A nurse has to explain to a patient having Bell's palsy the reason why oral hygiene and nutrition are affected in this condition. What points should the nurse emphasize while explaining? Select all that apply.

The taste sensation is impaired.

The sensation inside the mouth is affected.

In Bell's palsy, muscles of mastication are paralyzed.

There is accumulation of food on one side of the mouth.

There is pain around the jaw, which prevents the proper chewing of food.

The taste sensation is impaired.

There is accumulation of food on one side of the mouth.

There is pain around the jaw, which prevents the proper chewing of food.

The nurse caring for a patient with Bell's palsy expects to find which distinctive symptom on assessment?

Facial pain

Slurred speech

An eye that will not blink

Sagging of facial muscles

An eye that will not blink

A patient has been diagnosed with trigeminal neuralgia. For which etiologic factors should the nurse assess the patient? Select all that apply.

Sarcoidosis

Lyme disease

Brainstem infarct

Herpes virus infection

Infection of the teeth and jaw

Brainstem infarct

Herpes virus infection

Infection of the teeth and jaw

A patient has had two episodes of trigeminal neuralgia and has lately been exhibiting strange mannerisms. The nurse identifies them to be coping strategies to avoid another episode. What observed mannerisms would have led the nurse to conclude this? Select all that apply.

Patient avoids sleeping.

Patient has stopped eating.

Patient avoids blinking the eye.

Patient covers the face with a cloth.

Patient avoids interacting with people.

Patient has stopped eating.

Patient covers the face with a cloth.

Patient avoids interacting with people.

The patient with trigeminal neuralgia asks the nurse about the incidence and how this condition is diagnosed. Which responses by the nurse are most accurate? Select all that apply.

"It occurs twice as often in men than women."

"90% of the cases occur in people over age 50."

"It is one of the most commonly diagnosed neuralgic conditions."

"Risk factors include rheumatoid arthritis and primary epilepsy."

"The cause and physical aspects of trigeminal neuralgia are not well known."

"Every year, about 12 in 100,000 Americans are diagnosed with this condition."

"90% of the cases occur in people over age 50."

"It is one of the most commonly diagnosed neuralgic conditions."

"The cause and physical aspects of trigeminal neuralgia are not well known."

"Every year, about 12 in 100,000 Americans are diagnosed with this condition."

A patient has been admitted to the hospital with Guillain-Barré syndrome with severe autonomic dysfunction. Which of the dysfunctions should the nurse anticipate and monitor for? Select all that apply.

Dysrhythmias

Bradycardia

Tabes dorsalis

Charcot's joints

Orthostatic hypotension

Dysrhythmias

Bradycardia

Orthostatic hypotension

A nurse is explaining to a patient with Bell's palsy the preventive measures for complications related to the eye. What instructions should the nurse give the patient? Select all that apply.

Wear dark glasses.

Tape eyelids at night.

Check vision regularly.

Instill artificial tears frequently.

Keep the room at a moderate temperature.

Wear dark glasses.

Tape eyelids at night.

Instill artificial tears frequently.

A patient has had three episodes of trigeminal neuralgia and has stopped eating food, fearing that chewing would trigger pain. What advice should the nurse give that would help to maintain a proper nutritional status of this patient? Select all that apply.

Advise the patient to eat food that is hot.

Encourage the patient to limit fluid intake.

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.

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.

A nurse advises a patient with Bell's palsy to use a facial sling. What benefits of the facial sling should the nurse mention that would encourage the patient to use it? Select all that apply.

It facilitates eating.

It supports facial muscles.

It improves mouth alignment.

It improves cosmetic appearance.

It immobilizes the face, thereby preventing pain.

It facilitates eating.

It supports facial muscles.

It improves mouth alignment.

The nurse is caring for a patient diagnosed with tetanus. The patient has been given tetanus immune globulin (TIG). What should be the focus of collaborative care? Select all that apply.

Control of spasms with diazepam

Administration of polyvalent antitoxin

Tracheostomy for mechanical ventilation

Teaching correct processing of canned foods

Administration of facial sling to support affected muscles

Control of spasms with diazepam

Tracheostomy for mechanical ventilation

A percutaneous radiofrequency rhizotomy procedure has been planned for a patient with trigeminal neuralgia. What information should the nurse give to this patient about the procedure? Select all that apply.

Patient will be well-sedated during this procedure.

A small craniotomy will be performed behind the ear.

Patient may experience facial numbness after the surgery.

Patient may have difficulty with eye movements after the procedure.

Patient may have difficulty in masticating effectively for some time after the procedure.

Patient may experience facial numbness after the surgery.

Patient may have difficulty with eye movements after the procedure.

Patient may have difficulty in masticating effectively for some time after the procedure.

The nurse is performing a physical assessment of a patient with Bell's palsy. What clinical manifestations is the nurse likely to find? Select all that apply.

Narrowed palpebral fissure

Flattening of the nasolabial fold

Grimacing and frequent blinking

Flaccidity of the affected side of the face

Drooping of the mouth accompanied by drooling

Flattening of the nasolabial fold

Flaccidity of the affected side of the face

Drooping of the mouth accompanied by drooling

The respiratory status of a patient with Guillain-Barré syndrome is deteriorating. What nursing interventions should be performed for this patient? Select all that apply.

Obtain prescription for steroid inhaler.

Administer bronchodilators, as prescribed.

Check for fever, and send for sputum culture.

Keep necessary equipment ready for mechanical ventilation and tracheostomy.

Regular pulmonary functions tests and arterial blood gas (ABG) should be taken.

Check for fever, and send for sputum culture.

Keep necessary equipment ready for mechanical ventilation and tracheostomy.

Regular pulmonary functions tests and arterial blood gas (ABG) should be taken.

A patient has been diagnosed with botulism. The nurse is explaining to the patient and the caregivers about the pathology involved in the disease. What points should the nurse emphasize while explaining it? Select all that apply.

Botulism is a water-borne disease.

The spores of the organism are difficult to destroy.

This neurotoxin damages the gray matter of the brain.

This neurotoxin inhibits nerve impulses from reaching the muscle.

The neurotoxin produced by the bacteria is absorbed in the gastrointestinal (GI) tract.

The spores of the organism are difficult to destroy.

This neurotoxin inhibits nerve impulses from reaching the muscle.

The neurotoxin produced by the bacteria is absorbed in the gastrointestinal (GI) tract.

A patient is diagnosed with tetanus infection. The nurse has to explain the treatment plan for this patient to the caregivers. What are the interventions that would be a part of the treatment plan? Select all that apply.

Administration of antiviral drugs

Administration of opioid analgesics

Administration of sedatives and muscle relaxants

Administration of tetanus toxoid and immune globulin

Administration of drugs causing neuromuscular excitation

Administration of opioid analgesics

Administration of sedatives and muscle relaxants

Administration of tetanus toxoid and immune globulin

The nurse is caring for a patient with Guillain-Barré syndrome. What signs and symptoms should the nurse continuously monitor for in this patient? Select all that apply.

Continuous tonic seizures

Presence of bed sores

Stiffness in the jaw and neck

Changes in bladder function

Respiratory rate and rhythm

Presence of bed sores

Changes in bladder function

Respiratory rate and rhythm

The patient with peripheral facial paresis on the left side of the face is diagnosed with Bell's palsy. What should the nurse include in teaching the patient about self-care? Select all that apply.

Administration of antiseizure medications

Preparing for a nerve block to relieve pain

Administration of corticosteroid medications

Dark glasses and artificial tears to protect the eyes

Surgeries available if conservative therapy is not effective

Administration of corticosteroid medications

Dark glasses and artificial tears to protect the eyes

A patient having trigeminal neuralgia has been prescribed antiseizure drugs. The patient asks the nurse about how the drug would prevent painful episodes. What explanation should the nurse give in order to explain the mechanism of action of the drug?

It blocks the perception of pain sensation.

It reduces the pain by treating underlying depression.

It anesthetizes the area supplied by the trigeminal nerve.

It attenuates the transmission of nerve impulses from the trigeminal nerve.