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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. WBC 12,000/mm³ (5,000 to 10,000/mm³): An elevated white blood cell count suggests inflammation or infection, but it does not directly indicate an increased risk for skin breakdown. Skin integrity is more affected by nutritional status, mobility, and pressure exposure.
B. 25-Hydroxyvitamin D 92 ng/mL (25 to 80 ng/mL): This level is within the normal range and does not contribute to an increased risk for skin breakdown. Adequate vitamin D supports bone health and immune function, but protein levels and overall nutrition play a more direct role in skin integrity.
C. Hgb 18 g/dL (12 to 16 g/dL): A hemoglobin level above the normal range suggests polycythemia, which can increase blood viscosity. However, it does not directly correlate with skin breakdown risk. Lower hemoglobin levels, indicating anemia, are more likely to impair wound healing.
D. Albumin 3.1 g/dL (3.5 to 5 g/dL): A low albumin level reflects poor protein status, which is a key risk factor for skin breakdown. Protein is essential for tissue repair and maintaining skin integrity, and hypoalbuminemia is commonly associated with increased susceptibility to pressure injuries in immobile clients.
Correct Answer is C
Explanation
A. "Your provider would not prescribe this treatment if it weren't necessary.": While the provider recommends treatment based on medical necessity, the decision to continue or discontinue chemotherapy ultimately lies with the client. This response does not acknowledge the client’s autonomy.
B. "Chemotherapy is your best chance for survival.": This response focuses on treatment efficacy rather than addressing the client's emotional and personal concerns. It may also create pressure rather than supporting the client’s decision-making process.
C. "It is your decision whether to continue chemotherapy.": This response is appropriate as it acknowledges the client’s autonomy and right to make healthcare decisions. It validates the client’s concerns while offering support without imposing an opinion.
D. "Why don't you want to continue treatment?": Asking "why" may make the client feel defensive or pressured to justify their decision. A more open-ended approach, such as "Can you tell me more about your concerns?" would be a better way to explore the client’s feelings.
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