Question 1

The nurse teaches a client who has Guillain-Barré syndrome (GBS)about pain management.Which statement indicates that the client correctly understands the teaching?

Accepted Answer

Typical pain from GBS often is not relieved by medication other than opiates.Distraction,repositioning,massage,heat,cold,and guided imagery may enhance the opiate effects.Patient-controlled analgesia (PCA)pumps should be set with appropriate doses and limits.

Question 2

The nurse is teaching a client who is receiving carbamazepine (Tegretol)for chronic trigeminal neuralgia.Which statement indicates that the client correctly understands the teaching?

Accepted Answer

Carbamazepine is thought to interfere with the transmission of pain through slow fibers.It may decrease the paroxysmal afferent impulse that causes trigeminal pain.Trigeminal disease does not cause seizures.Drowsiness,dizziness,confusion,and risk for falls are adverse effects of this medication.Alcohol consumption increases these risks; therefore the client should not drink alcohol when taking this medication.Seizure disorders may occur in clients who stop taking this medication.The dose should be decreased gradually.Pain relief varies with the person; some people find that this medication provides at least some relief.

Question 3

A client has just undergone surgery for peripheral nerve trauma.Which interventions does the nurse include in the client's plan of care?

Accepted Answer

Care for the client with peripheral nerve trauma includes immobilization before and after surgery,and skin care to prevent skin breakdown and promote healing.The client may likely require physical or occupations therapy during the recovery process.The client will have decreased sensation,so cold and heat therapy should not be used.The client will require a diet high in protein to promote healing.

Question 4

The nurse is obtaining a health history for a 45-year-old woman with Guillain-Barré syndrome (GBS).Which statement by the client does the nurse correlate with the client's diagnosis?

Accepted Answer

The client with GBS often relates a history of acute illness,trauma,surgery,or immunization 1 to 3 weeks before the onset of neurologic symptoms.The other statements do not correlate with GBS.

Question 5

The nurse is preparing to send a cerebrospinal fluid sample to the laboratory.Which actions does the nurse implement during this procedure?

Accepted Answer

The Standard Precautions approach is based on the premise that a medical history and a physical examination cannot reliably identify all those infected by pathogens.Consequently,health care workers should consider all human blood and body fluids as potentially infectious and must use appropriate protective measures to prevent possible exposure.Specimens should be labeled appropriately and transported in a sealed bag displaying the biohazard symbol.The nurse should use Standard Precautions when handling the specimen.The nurse should also confirm the identification of the client and the specimen.The nurse does not need sterile gloves,and the specimen should not be iced.

Question 6

The nurse is assessing a client who had a dissection of all branches of the right trigeminal nerve.When asked to wrinkle his forehead,the client wrinkles only the left side.Which is the nurse's best action?

Accepted Answer

Loss of motor and sensory function after complete trigeminal nerve dissection is normal.No intervention is necessary.

Question 7

The nurse is preparing a staff in-service program related to restless legs syndrome (RLS).Which potential risk factors of this syndrome does the nurse include?

Accepted Answer

Risk factors for RLS include a possible genetic basis,history of type 2 diabetes mellitus,advanced kidney failure,vitamin and mineral deficiencies,polyneuropathies,peripheral nerve disease,age,lack of exercise,and pinched nerve.Rashes,muscle atrophy,and hypercalcemia are not related.

Question 8

A client with trigeminal neuralgia is about to undergo surgery for pain relief.The client asks,"How will this surgery relieve my pain?" How does the nurse respond?

Accepted Answer

In some clients,a small artery compresses the nerve as it enters the pons.By relocating this nerve,pain relief is obtained and sensation is spared.The other responses do not answer the client's question appropriately.

Quiz 46: Care of Patients With Problems of the Peripheral Nervous System

The nurse teaches a client who has Guillain-Barré syndrome (GBS) about pain management.Which statement indicates that the client correctly understands the teaching?

The nurse is teaching a client who is receiving carbamazepine (Tegretol) for chronic trigeminal neuralgia.Which statement indicates that the client correctly understands the teaching?

A client has just undergone surgery for peripheral nerve trauma.Which interventions does the nurse include in the client's plan of care?

The nurse is obtaining a health history for a 45-year-old woman with Guillain-Barré syndrome (GBS) .Which statement by the client does the nurse correlate with the client's diagnosis?

The nurse is preparing to send a cerebrospinal fluid sample to the laboratory.Which actions does the nurse implement during this procedure?

The nurse is assessing a client who had a dissection of all branches of the right trigeminal nerve.When asked to wrinkle his forehead,the client wrinkles only the left side.Which is the nurse's best action?

The nurse is preparing a staff in-service program related to restless legs syndrome (RLS) .Which potential risk factors of this syndrome does the nurse include?

A client with trigeminal neuralgia is about to undergo surgery for pain relief.The client asks,"How will this surgery relieve my pain?" How does the nurse respond?