Which description of symptoms is characteristic of a client diagnosed with trigeminal neuralgia (tic
douloureux)?
A) Tinnitus, vertigo, and hearing
... [Show More] difficulties.
B) Sudden, stabbing, severe pain over the lip and chin.
C) Facial weakness and paralysis.
D) Difficulty in chewing, talking, and swallowing. - ✔✔B) Sudden, stabbing, severe pain over the lip and
chin.
Trigeminal neuralgia is characterized by paroxysms of pain, similar to an electric shock, in the area
innervated by one or more branches of the trigeminal nerve (5th cranial) (B). (A) would be characteristic
of Méniére's disease (8th cranial nerve). (C) would be characteristic of Bell's palsy (7th cranial nerve). (D)
would be characteristic of disorders of the hypoglossal cranial nerve (12th).
A 67-year-old woman who lives alone is admitted after tripping on a rug in her home and fractures her
hip. Which predisposing factor probably led to the fracture in the proximal end of her femur?
A) Failing eyesight resulting in an unsafe environment.
B) Renal osteodystrophy resulting from chronic renal failure.
C) Osteoporosis resulting from hormonal changes.
D) Cardiovascular changes resulting in small strokes which impair mental acuity. - ✔✔C) Osteoporosis
resulting from hormonal changes.
The most common cause of a fractured hip in elderly women is osteoporosis, resulting from reduced
calcium in the bones as a result of hormonal changes in later life (C). (A) may or may not have
contributed to the accident, but it had nothing to do with the hip being involved. (B) is not a common
condition of the elderly; it is common in chronic renal failure. (D) may occur in some people, but does
not affect the fragility of the bones as osteoporosis does.
The nurse is assisting a client out of bed for the first time after surgery. What action should the nurse do
first?
A) Place a chair at a right angle to the bedside.
B) Encourage deep breathing prior to standing.C) Help the client to sit and dangle legs on the side of the bed.
D) Allow the client to sit with the bed in a high Fowler's position. - ✔✔D) Allow the client to sit with the
bed in a high Fowler's position.
The first step is to raise the head of the bed to a high Fowler's position (D), which allow venous return to
compensate from lying flat and vasodilating effects of perioperative drugs. (A, B, and C) are
implemented after (D).
A 20-year-old female client calls the nurse to report a lump she found in her breast. Which response is
the best for the nurse to provide?
A) Check it again in one month, and if it is still there schedule an appointment.
B) Most lumps are benign, but it is always best to come in for an examination.
C) Try not to worry too much about it, because usually, most lumps are benign.
D) If you are in your menstrual period it is not a good time to check for lumps. - ✔✔B) Most lumps are
benign, but it is always best to come in for an examination. [Show Less]