Page 2060 - Saunders Comprehensive Review For NCLEX-RN

Integrated Process: Teaching and Learning
Content Area: Adult Health: Neurological
Health Problem: Adult Health: Neurological: Parkinson’s disease
Priority Concepts: Client Education; Safety
Reference: Ignatavicius, Workman, Rebar (2018), pp. 872-873.www.michaeljfox.org
www.parkinson.org

716. Answer: 4

Rationale: Facial pain can be minimized by using cotton pads to wash the face
and using room temperature water. The client should chew on the unaffected side of
the mouth, eat a soft diet, and take in foods and beverages at room temperature. If
brushing the teeth triggers pain, an oral rinse after meals may be helpful instead.
Test-Taking Strategy: Note the strategic words, needs further teaching. These words
indicate a negative event query and ask you to select an option that is incorrect.
Recall that the pain of trigeminal neuralgia is triggered by mechanical or thermal
stimuli. Very hot or cold foods are likely to trigger the pain, not relieve it.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Adult Health: Neurological
Health Problem: Adult Health: Neurological: Trigeminal neuralgia
Priority Concepts: Client Education; Pain
Reference: Lewis et al. (2017), pp. 1437-1438.

717. Answer: 4

Rationale: Guillain-Barré syndrome is a clinical syndrome of unknown origin that
involves cranial and peripheral nerves. Many clients report a history of respiratory
or gastrointestinal infection in the 1 to 4 weeks before the onset of neurological
deficits. On occasion, the syndrome can be triggered by vaccination or surgery.
Test-Taking Strategy: Note the strategic word, most. Use knowledge regarding the
causes related to this disorder. Remember that a recent history of respiratory or
gastrointestinal infection is a predisposing factor.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Adult Health: Neurological
Health Problem: Adult Health: Neurological: Guillain-Barré syndrome
Priority Concepts: Clinical Judgment; Infection
Reference: Lewis et al. (2017), pp. 1440-1441.

718. Answer: 3

Rationale: The client with Guillain-Barré syndrome experiences fear and anxiety
from the ascending paralysis and sudden onset of the disorder. The nurse can
alleviate these fears by providing accurate information about the client’s condition,

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