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Which of the following interventions would the nurse emphasize during education to assist the patient diagnosed with trigeminal neuralgia in managing their pain?

A.

Chew food on unaffected side

B.

Teeth should be brushed prior to each meal

C.

Avoid using an electric razor

D.

Food should be served hot or cold

Answer and Explanation

The Correct Answer is A

A. Chewing food on the unaffected side helps to prevent triggering pain episodes in the affected side of the face, which is critical for managing trigeminal neuralgia effectively. 

 

B. While maintaining oral hygiene is important, the timing of brushing teeth is less critical than managing pain during eating. Brushing teeth should be done gently to avoid pain but is not specifically prioritized over other interventions.  

 

C. Avoiding an electric razor is not relevant to managing trigeminal neuralgia pain; it relates more to safety and comfort in shaving rather than pain management.  

 

D. Food should not be served hot or cold as extreme temperatures can trigger pain in trigeminal neuralgia patients; it's better to serve food at a moderate temperature.  


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Correct Answer is C

Explanation

A. While stomatitis can cause discomfort and complications, it is not an immediate threat compared to infection risk.

B. The client with leukemia may require monitoring, but the antiemetic is pre-emptive and not immediately critical.

C. The client with neutropenia and a possible infection poses the highest risk, as they are vulnerable to severe complications due to their compromised immune system. Immediate assessment is necessary to manage and treat potential infections promptly.

D. The breast cancer client scheduled for radiation requires care but is not in an urgent condition compared to the neutropenic patient.

Correct Answer is B

Explanation

A. This statement is accurate as Mohs surgery involves examining each layer of skin for cancer cells before proceeding with further removal.

B. The client indicates a misunderstanding; Mohs surgery does not typically involve a needle biopsy of the lymph node at the time of the procedure, as it focuses on the local removal of skin cancer.

C. This statement is correct as the goal of Mohs surgery is to remove the cancer while preserving as much healthy tissue as possible.

D. This statement is also true as Mohs surgery is designed to minimize healthy tissue removal, often resulting in better cosmetic outcomes

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