Test 3 study guide

Question 1

What are the clinical manifestations of trigeminal Neuralgia

Answer 1

Severe pain around the eye & lower jaw
the pain is unilateral
sharp stabbing pain

Question 2

What are triggers for trigeminal neuralgia?

Answer 2

stress
infection
brushing teeth
hot and cold foods

Question 3

What type of nursing care would be provided for trigeminal neuralgia?

Answer 3

good oral care 
remove pouched food manually 
hygiene 
drafts can cause pain 
ensure adequate hygiene 
comfort/pain control
privacy

Question 4

What kind of pain management is there for trigeminal neuralgia?

Answer 4

nerve block
Tegretal
restiotomy is the last resort (will never have feeling again)
relieve pressure on nerve

Question 5

What tests can be done to diagnose Bell’s Palsy?

Answer 5

Nerve conduction test?

Question 6

How do you treat Bell’s Palsy?

Answer 6

treat the symptoms

a secondary cause would be Lyme disease

Question 7

What nursing management is there for Bell’s Palsy?

Answer 7

face sling (help support facial muscles)
eye care (drops/eye patch)
oral care 
eat on good side 
give privacy 
provide emotional care (embarrassed) 
tell them it is not permanent

Question 8

What causes Guillen Barre?

Answer 8

could be caused by infection

Question 9

What are clinical manifestations of Guillen Barre syndrome?

Answer 9

paralysis, numbness, tingling (occurs between 24-72 hours after exposure)
bottom-top (most common) or
outside-in

Question 10

How do you treat Guillen Barre syndrome?

Answer 10

must be hospitalized
potential for respiratory paralysis (intubation ready)
high recovery rate if properly treated
rare to start with and rare to get again

Question 11

What is the nursing management for Guillen Barre Syndrome?

Answer 11

Fall risk 
bed rest - turn Q2hrs 
incontinence - foley cath - skin care and infection risk
fear and anxiety 
monitor for aspiration - severe 
patient education is important