osborn2e_TIF_CH21 - Osborn Medical-Surgical Nursing 2e...

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Osborn, Medical-Surgical Nursing, 2eChapter 21Question 1Type: MCSAA patient comes to the clinic complaining of repetitive episodes of sudden severe pain on the right side of the face. The nurse anticipates additional testing for which disorder?1. Trigeminal neuralgia2. Parkinson’s disease3. Bell’s palsy4. Myasthenia gravisCorrect Answer: Rationale 1: The cause of trigeminal neuralgia is not known, but contributing factors are recent flulike illness, trauma or infection of the teeth or jaw, and arteriosclerotic changes of an artery close to the nerve. It is manifested by repetitive episodes of sudden severe pain on the affected side of the face.Rationale 2: The facial symptom associated with Parkinson’s disease is decreased facial movement resulting in a masklike presentation. Severe facial pain is not associated with Parkinson’s disease.Rationale 3: Bell’s palsy results in paralysis of one side of the face. Severe espisodic facial pain is not associated with Bell’s palsy.Rationale 4: Myasthenia gravis results in drooping of the eyelid. Severe espisodic facial pain is not associated with myasthenia gravis.
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Global Rationale: Cognitive Level: ApplyingClient Need: Physiological IntegrityClient Need Sub: Physiological AdaptationNursing/Integrated Concepts: Nursing Process: AssessmentLearning Outcome: 21-1Question 2Type: MCSAA patient has just been diagnosed with trigeminal neuralgia. What would the nurse teach this patient about treatment for this disorder?
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Global Rationale: Cognitive Level: ApplyingClient Need: Physiological IntegrityClient Need Sub: Pharmacological and Parenteral TherapiesNursing/Integrated Concepts: Nursing Process: ImplementationLearning Outcome: 21-1

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