After administering carbamazepine to a client with trigeminal neuralgia, which finding indicates to the practical nurse (PN) that the medication has produced the desired outcome?
Able to ambulate without assistance.
Distal pulses intact with strong volume.
No seizure activity observed.
Client denies pain.
The Correct Answer is D
Choice A reason: Being able to ambulate without assistance is generally an indicator of improved mobility or reduced motor impairment. However, it does not directly reflect the effectiveness of carbamazepine in treating trigeminal neuralgia. Trigeminal neuralgia is a chronic pain condition that affects the trigeminal nerve in the face, causing severe facial pain. The goal of carbamazepine in this context is to reduce or eliminate this pain, so ambulation is not a relevant measure of the medication's effectiveness in this case.
Choice B reason: Distal pulses that are intact with strong volume are important indicators of good peripheral circulation. While this is a positive clinical finding, it does not relate to the primary purpose of carbamazepine administration in a client with trigeminal neuralgia. The primary goal is to alleviate the facial pain associated with the condition, so assessing peripheral pulses does not indicate the desired outcome of the medication.
Choice C reason: No seizure activity observed is an important outcome in clients taking carbamazepine for seizure disorders. However, in the context of trigeminal neuralgia, carbamazepine is used primarily for its pain-relieving properties. The absence of seizure activity is not the main indicator of the medication's effectiveness for this specific condition. Therefore, while seizure control is relevant for other uses of carbamazepine, it is not the primary measure of success for treating trigeminal neuralgia.
Choice D reason: Client denies pain is the most relevant and desired outcome when administering carbamazepine for trigeminal neuralgia. This medication is effective in reducing or eliminating the severe facial pain associated with the condition. By denying pain, the client indicates that the medication is effectively managing the symptoms of trigeminal neuralgia, which is the primary therapeutic goal in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Coughing over the catheter site while cleansing the skin is a behavior that indicates the client needs additional teaching. This action can introduce bacteria and other pathogens to the catheter site, increasing the risk of infection. Proper technique should include covering the mouth when coughing and ensuring the area remains as sterile as possible during the cleansing process. Educating the client on the importance of maintaining sterility and preventing contamination is crucial in peritoneal dialysis catheter care.
Choice B reason: Wearing only one sterile glove when cleansing the insertion site may not be ideal, but it does not necessarily indicate a lack of understanding or need for additional teaching. The main concern is ensuring the insertion site is cleaned properly. However, best practice would be to wear two sterile gloves to maintain sterility and reduce the risk of infection.
Choice C reason: Washing hands before opening the 4 by 4 dressing packet is a proper and essential technique in peritoneal dialysis catheter care. This action helps minimize the risk of infection by ensuring that the hands are clean before handling sterile supplies. This behavior does not indicate a need for additional teaching.
Choice D reason: Pouring antiseptic solution and sterile water on sterile dressings is an acceptable practice in peritoneal dialysis catheter care. This step helps disinfect the catheter site and maintain sterility. This behavior does not indicate a need for additional teaching.
Correct Answer is ["B","C","D"]
Explanation
Choice A reason: Carrying the phone number of the Epilepsy Foundation at all times is helpful for accessing support and information, but it does not directly prevent seizure episodes. It is more of an additional resource rather than a preventive measure.
Choice B reason: Staying well rested and avoiding a large caffeine intake is crucial for managing seizure disorders. Lack of sleep and excessive caffeine can trigger seizures in some individuals. Ensuring adequate rest and limiting caffeine consumption can help reduce the likelihood of seizure episodes.
Choice C reason: Avoiding flashing lights and excessive visual stimuli is important for individuals with seizure disorders, as these can be potential triggers for seizures. Sensitivity to visual stimuli can lead to photosensitive epilepsy, making it essential to minimize exposure to such triggers.
Choice D reason: Seeking a safe place if sensing dizziness or sensory disturbances is vital for preventing injury during a seizure. Recognizing early warning signs and finding a safe environment can help protect the individual from harm during a seizure episode.
Choice E reason: Generic medications are generally considered safe to substitute for trade name brands, but it is essential to consult with a healthcare provider before making any changes to medication. Ensuring consistency in medication and avoiding abrupt changes is crucial for managing seizure disorders effectively.
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