Author Question: A client has trigeminal neuralgia and has begun skipping meals and not brushing his teeth, and his ... (Read 31 times)

cdr_15 · **on:** Jun 25, 2018

A client has trigeminal neuralgia and has begun skipping meals and not brushing his teeth, and his family believes he has become depressed. What action by the nurse is best?

a. Ask the client to explain his feelings related to this disorder.
b. Explain how dental hygiene is related to overall health.
c. Refer the client to a medical social worker for assessment.
d. Tell the client that he will become malnourished in time.

Question 2

A client has undergone a percutaneous stereotactic rhizotomy. What instruction by the nurse is most important on discharge from the ambulatory surgical center?

a. Avoid having teeth pulled for 1 year.
b. Brush your teeth with a soft toothbrush.
c. Do not use harsh chemicals on your face.
d. Inform your dentist of this procedure.

FergA · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
Clients with trigeminal neuralgia are often afraid of causing pain, so they may limit eating, talking, dental hygiene, and socializing. The nurse first assesses the client for feelings related to having the disorder to determine if a psychosocial link is involved. The other options may be needed depending on the outcome of the initial assessment.

Answer to Question 2

ANS: C
The affected side is left without sensation after this procedure. The client should avoid putting harsh chemicals on the face because he or she will not feel burning or stinging on that side. This will help avoid injury. The other instructions are not necessary.