A client tells the nurse that they are experiencing stabbing pain in the mouth, gums, teeth, and chin following brushing her teeth. These are symptoms of

diabetic neuropathy.

postherpetic neuralgia.

visceral pain.

trigeminal neuralgia.

Answer and Explanation

The Correct Answer is D

A.   Diabetic neuropathy is a type of nerve damage that occurs due to prolonged high blood sugar levels associated with diabetes. While diabetic neuropathy can cause pain, it's usually more generalized and affects extremities rather than specific areas like the mouth and teeth.
B.   Postherpetic neuralgia is a condition that occurs as a complication of shingles (herpes zoster). It involves persistent nerve pain in the area where the shingles rash occurred, typically affecting the skin. The pain is usually described as burning or aching rather than stabbing, and it is localized to the area previously affected by the rash.
C.   Visceral pain originates from the internal organs (viscera) and is typically described as a deep, aching, or cramping pain. It is often associated with conditions like gastrointestinal or gynecological issues.
D.   Trigeminal neuralgia is a condition characterized by sudden, severe, sharp, stabbing pain along the distribution of the trigeminal nerve, which innervates the face. The pain can be triggered by activities such as brushing teeth, talking, or touching the face.

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Correct Answer is ["A","B","D"]

Explanation

A. Assessing the client’s respirations is crucial in evaluating their respiratory status. This includes
checking the rate, rhythm, depth, and effort of breathing. Given the client’s symptoms of cough and lung congestion, it's important to assess whether there are any signs of respiratory distress or abnormal breathing patterns.
B. Auscultating lung sounds is essential to identify any abnormal lung sounds such as wheezes, crackles, or rhonchi. This helps in evaluating the presence and severity of lung congestion and can provide insights into the underlying cause of the client's symptoms.
C. While assessing peripheral pulses is important in a comprehensive cardiovascular assessment, it is not directly related to evaluating symptoms of a cold, cough, or lung congestion. The focus of the assessment for these specific symptoms would be more on the respiratory system.
D. Checking the client’s temperature is important because a fever may indicate an infection or inflammation, which can be associated with the symptoms of a cold or lung congestion. This helps in assessing the overall systemic response to the infection.
E. A musculoskeletal and neurological examination is not directly relevant to assessing symptoms related to a cold, cough, or lung congestion. These exams are more appropriate for evaluating physical function and neurological status, which are not the primary concerns in this scenario.
F. While family history can provide valuable context for some conditions, it is not the immediate focus for evaluating current symptoms like a cold, cough, or lung congestion. The priority should be on the present symptoms and their immediate effects on the client’s health.

A. The client sitting up and leaning over the bedside table, B. Fine bilateral basilar crackles. C. A respiratory rate of 9 breaths/min. D. A large barrel chest.

Correct Answer is C

Explanation

A. This position is often seen in clients with chronic respiratory conditions like emphysema. It is called the tripod position and can help the client breathe more easily by expanding the chest and reducing the work of breathing. While this position indicates the client is experiencing difficulty breathing, it is not an immediate emergency but rather a sign of their chronic respiratory condition.

B. Fine crackles (or rales) are abnormal lung sounds that can indicate fluid in the alveoli. In emphysema, crackles are not typical and may suggest a complication such as pulmonary edema or infection.
However, if these crackles are not severe and the client’s overall condition is stable, it may not be the
most urgent issue compared to other findings.
C. A respiratory rate of 9 breaths per minute is considered bradypnea, which is significantly lower than the normal range (12-20 breaths/min). For a client with chronic emphysema on oxygen therapy, bradypnea is a concerning finding because it indicates inadequate respiratory drive and potential respiratory depression.
D. A barrel chest is a common physical finding in clients with chronic emphysema due to chronic air trapping and lung overexpansion. It reflects long-standing changes in the chest structure due to the disease. While it is a notable finding, it is a chronic manifestation of emphysema and not an immediate concern in the context of acute clinical status.

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A client tells the nurse that they are experiencing stabbing pain in the mouth, gums, teeth, and chin following brushing her teeth. These are symptoms of

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The clinic nurse prepares to perform a focused assessment on a client who is complaining of symptoms of a cold, a cough, and lung congestion. Which assessments should the nurse include for this focused assessment? Select the three options that apply.

Correct Answer is ["A","B","D"]

Explanation

A nurse is evaluating and assessing a client with a diagnosis of chronic emphysema. The client is receiving oxygen therapy at a flow rate of 5 L/min via nasal cannula. Which findings concern the nurse immediately?

Correct Answer is C

Explanation

The nurse is observing the respiratory effort of a client, and notes that the client's intercostal spaces are retracting on inspiration. The nurse will assess the client for the presence of which condition(s)? Select All That Apply

The nurse is caring for 4 clients. Which client is at highest risk for skin breakdown?

The nurse is preparing to auscultate the breath sounds of a client for an asthma exacerbation. Which breath sounds does the nurse anticipate to find upon assessment?

The nurse is assessing the client's respiratory system. Which method will result in the most accurate assessment of the client's respiratory rate?

A client tells the nurse that they are experiencing stabbing pain in the mouth, gums, teeth, and chin following brushing her teeth. These are symptoms of

Which respiratory assessment finding will most likely indicate the client is exhibiting asthma?

A nurse in an emergency department (ED) is admitting a client. Select 3 findings in the client's medical record that may be indicative of bronchitis.

Upon assessment, the nurse noted a temperature of 102.1, respirations of 30 breaths per minute, oxygen saturation of 90% on room air, decreased expansion and dullness over the right lung, and crackles heard on the right lower lobe. Which condition should the nurse suspect?