Which action will the nurse include in the plan of care for a 62-year-old patient who is experiencing pain from trigeminal neuralgia?
a. Assess fluid and dietary intake.
b. Apply ice packs for 20 minutes.
c. Teach facial relaxation techniques.
d. Spend time talking with the patient.
ANS: A
The patient with an acute episode of trigeminal neuralgia may be unwilling to eat or drink, so assessment of nutritional and hydration status is important. Because stimulation by touch is the precipitating factor for pain, relaxation of the facial muscles will not improve symptoms. Application of ice is likely to precipitate pain. The patient will not want to engage in conversation, which may precipitate attacks.
You might also like to view...
A primary nurse caring for a patient with kidney failure develops a plan of care for the patient after consulting with the patient on the best way to manage the patient's diet
As the staff delivers the plan of care the primary nurse evaluates whether the plan is working. Which attribute is the primary nurse displaying? a. Responsibility b. Interprofessional collaboration c. Delegation d. Staff involvement
The nurse is caring for a 7-year-old hospitalized in isolation. The nurse notices that the girl has begun sucking her thumb and changing her speech patterns to those of a toddler. What is the girl exhibiting signs of?
A) Regression B) Suppression C) Repression D) Denial
Which steps can the nurse take to apply evidence-based research into nursing practice? (Select all that apply.)
a. Identify, review, and evaluate the data applicable to the problem. b. Define the problem. c. Design a practice change based on the da-ta. d. Implement the change in nursing practice. e. Continue to work around the problem.
A client with degenerative joint disease comes to the clinic and states that he has been reading a lot about essential oils that are helpful for "stomach problems." The nurse should offer the client information about the use of which oil?
1. Chamomile 2. Eucalyptus 3. Lavender 4. Tea tree