The nurse is assessing the client's temporomandibular joint. The client complains of chronic pain at this site. Which of the following may have occurred as a result of this condition? Standard Text: Select all that apply
1. The client has developed migraine headaches.
2. The client is unable to chew well and has lost weight since the pain began.
3. The client exhibits difficulty speaking clearly and enunciating words.
4. The client has developed hyperparathyroidism.
5. The client has developed torticollis.
2,3,5
Rationale 1: The client has developed migraine headaches. Clients who have pain at the temporomandibular joint will have difficulty moving this joint adequately. This can result in difficulty speaking, problems chewing food, and weight loss. Clients with temporomandibular joint pain are more likely to develop cluster or tension headaches.
Rationale 2: The client is unable to chew well and has lost weight since the pain began. Clients who have pain at the temporomandibular joint will have difficulty moving this joint adequately. This can result in difficulty speaking, problems chewing food, and weight loss.
Rationale 3: The client exhibits difficulty speaking clearly and enunciating words. Clients who have pain at the temporomandibular joint will have difficulty moving this joint adequately. This can result in difficulty speaking, problems chewing food, and weight loss.
Rationale 4: The client has developed hyperparathyroidism. Clients who have pain at the temporomandibular joint will have difficulty moving this joint adequately. This can result in difficulty speaking, problems chewing food, and weight loss. Pain at the site of temporomandibular joint is not associated with hyperparathyroidism.
Rationale 5: The client has developed torticollis. Clients who have pain at the temporomandibular joint will have difficulty moving this joint adequately. This can result in difficulty speaking, problems chewing food, and weight loss. The client with temporomandibular joint pain can also develop painful muscle spasms in the neck called torticollis.
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