I client with a spinal cord injury reports hot, burning, tingling, pain that shoots down his extremities. When the client asks why this occurs, what is the nurse's best response?
We need to reposition you.
This is caused by a continual inflammatory process.
This is related to nerve damage in the spinal cord
This will go away in 2 weeks
The Correct Answer is C
Choice A Rationale: Repositioning may be important for preventing complications, but it does not explain the pain described by the client.
Choice B Rationale: A continual inflammatory process is not typically the cause of the pain described by the client with a spinal cord injury.
Choice C Rationale: Nerve damage in the spinal cord is a common cause of neuropathic pain with these characteristics.
Choice D Rationale: Telling the client that the pain will go away in 2 weeks without further assessment or explanation is not accurate and may raise unrealistic expectations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Rationale: Lethargy is not a typical manifestation of trigeminal neuralgia.
Choice B Rationale: Pain is the hallmark symptom of trigeminal neuralgia and is known to significantly affect a person's quality of life. The pain is often severe, sudden, and recurrent.
Choice C Rationale: Social withdrawal can result from the pain and discomfort associated with trigeminal neuralgia, but it is a consequence rather than a primary manifestation.
Choice D Rationale: Poor hygiene may occur as a result of the pain and discomfort associated with trigeminal neuralgia, but it is not a primary symptom of the condition.
Correct Answer is D
Explanation
Choice A Rationale: Guillain-Barre syndrome does not typically cause enlargement of parotid and salivary glands, leading to drooling.
Choice B Rationale: Obstructed blood flow to the brain is not the primary cause of the described symptoms in Guillain-Barre syndrome.
Choice C Rationale: Deficiency of thiamine and pyridoxine in the central nervous system is not a characteristic feature of Guillain-Barre syndrome.
Choice D Rationale: In Guillain-Barre syndrome, demyelination affects cranial nerves responsible for swallowing and the gag reflex, leading to difficulties in swallowing secretions and drooling.
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