Which of the following statements indicates adequate understanding by the client receiving carbamazepine for chronic trigeminal neuralgia?
A. "This drug will prevent seizures which can occur as a result of trigeminal disease."
B. "I expect to have surgery soon, so I can stop taking this drug now."
C. "I understand that only a few people obtain pain relief with this medication—I am glad to be one of them."
D. "I will avoid drinking alcohol, because it can add to adverse effects when I take this medicine."
D
Carbamazepine is thought to interfere with the transmission of pain through slow fibers; it may also decrease the paroxysmal afferent impulse that causes trigeminal pain.
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While working with a client who is living with progressively worsening Parkinson disease and consequent self-care deficits, Nurse P is conscious of integrating principles of holistic gerontological nursing care
Place the following steps in the application of these principles in the correct logical and chronological order. Use all the options. A) Implement specific nursing care plan actions B) Perform an assessment of the client C) Identify the presence of needs related to health challenges D) Evaluate how well identified health needs are being met E) Explore reasons underlying the client's health needs
Which statement, made by a staff nurse, reflects the most fundamental reason that nursing research findings are not implemented in nursing practice?
1. I'm not sure that these findings are valid and safe to implement. 2. We don't have any protocols to implement research in practice. 3. I don't have the authority to change my practice. 4. I don't think too highly of researchers and research.
A patient is receiving radiation therapy for squamous-cell carcinoma of the cervix. The nurse should be aware of which of the following side effects of radiation therapy?
A) Migraine headaches B) Severe pain C) Abdominal cramping D) Constipation
While assessing a patient with acute hepatic dysfunction, the nurse notes the presence of veins over the patient's abdominal region. This finding would be consistent with which of the following?
1. esophageal varices 2. hypernatremia 3. elevated ammonia level 4. portal vein obstruction