A 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 neuralgia
2. Parkinson's disease
3. Bell's palsy
4. Myasthenia gravis
1
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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The charge nurse on a hospital unit is developing plans of care related to separation anxiety. The charge nurse recognizes that the hospitalized child at greatest risk to experience separation anxiety when parents cannot stay is the:
1. 6-month-old. 2. 18-month-old. 3. 3-year-old. 4. 4-year-old.
Persons with normal age-related sensory changes are likely to have the most difficulty distin-guishing which of the following?
a. Spoken pairs of phrases like "she's praised" and "fees raised" b. Orange towel hanging on a beige wall c. "Go" and "to" in lowercase letters in fine print d. Spoken word pairs like "cupful" and "capful"
A patient incident occurred on the nursing unit. What should the nurse caring for the patient do in regard to the incident report?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Carefully document the completion of an incident report in the nurse's notes. 2. Write a recommendation for future prevention of such incidents in the report. 3. Include only the facts and the nurse's observations in the incident report. 4. Assist the nursing supervisor who will write the report. 5. Include documentation in the medical record about the event that mandated completion of an incident report.
Which finding would indicate that a patient is experiencing a systemic reaction associated with an inflammatory response?
1. Fever 2. Erythema 3. Edema 4. Pain