A home health nurse is providing nutrition education for a client who has trigeminal neuralgia. Which of the following foods should the nurse recommend to decrease pain?

Graham crackers

Vanilla pudding

Ice cream

Vegetable soup

Answer and Explanation

The Correct Answer is B

A. Graham crackers: Hard, crunchy foods can trigger pain by irritating the trigeminal nerve, making them unsuitable for clients with trigeminal neuralgia. Soft, easy-to-swallow foods are preferred.

B. Vanilla pudding: Soft, smooth-textured foods are recommended to minimize irritation of the trigeminal nerve. Vanilla pudding requires minimal chewing, reducing the risk of triggering pain.

C. Ice cream: Extremely cold foods can act as a trigeminal nerve irritant and may provoke pain episodes. Lukewarm or room-temperature foods are preferable.

D. Vegetable soup: Although liquid-based, vegetable soup often contains solid pieces that require chewing, which can increase the risk of triggering pain. Blended or pureed soups are a better option.

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Correct Answer is D

Explanation

A. Remain at least 1 foot away from young children during treatment: Clients receiving radioactive isotope therapy should maintain a greater distance, typically at least 6 feet from children and pregnant individuals, to minimize radiation exposure.

B. Use cloth handkerchiefs instead of disposable tissues: Disposable tissues are recommended for nasal secretions because they can be discarded immediately, reducing contamination risk. Cloth handkerchiefs may retain radioactive particles, increasing exposure.

C. Use absorbent briefs for incontinence as needed: While managing incontinence is important, absorbent briefs may retain radioactive urine, increasing the risk of prolonged exposure. Frequent voiding and proper disposal of contaminated materials are preferred.

D. Flush the toilet with the lid closed three times after use: This helps minimize radiation exposure to others by ensuring radioactive waste is thoroughly diluted and flushed away, reducing contamination in the surrounding environment.

A. Position the client with the head of the bed elevated to a 15° angle. B. Check the client for jugular venous flattening. C. Administer an anticoagulant medication to the client. D. Assess the client for a paradoxical blood pressure.

Correct Answer is D

Explanation

A. Position the client with the head of the bed elevated to a 15° angle: Clients with pericarditis typically experience relief when sitting up and leaning forward, as this reduces pressure on the inflamed pericardium. A 15° elevation is too low to provide significant relief.

B. Check the client for jugular venous flattening: Pericarditis, especially when complicated by cardiac tamponade, leads to jugular venous distension rather than flattening due to impaired venous return to the heart.

C. Administer an anticoagulant medication to the client: Anticoagulants are not routinely used in pericarditis because they may increase the risk of hemorrhagic pericardial effusion, particularly if pericarditis is due to an inflammatory or infectious cause.

D. Assess the client for a paradoxical blood pressure: Pulsus paradoxus, a significant drop in systolic blood pressure during inspiration, is a key sign of cardiac tamponade, a life-threatening complication of pericarditis. Monitoring for this helps in early detection and management.

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A home health nurse is providing nutrition education for a client who has trigeminal neuralgia. Which of the following foods should the nurse recommend to decrease pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a group of clients who are receiving radioactive isotope therapy. Which of the following information should the nurse include?

Correct Answer is D

Explanation

A nurse is caring for a client who has pericarditis. Which of the following interventions should the nurse implement?

Correct Answer is D

Explanation

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