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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A Rationale: Keeping the client NPO until fitted for a halo vest is not a standard practice, and nutritional support should be initiated as soon as possible.

Choice B Rationale: A high-calorie, high-protein diet is typically started within 3 days of a spinal cord injury to support healing and prevent muscle wasting.

Choice C Rationale: High fiber and decreased protein are not the immediate dietary needs after a spinal cord injury. High protein intake is important for tissue repair.

Choice D Rationale: Low fiber and no protein would not be recommended 2 days after a spinal cord injury, as protein intake is crucial for healing and recovery.

A. Eat only cold foods B. Massage the affected side multiple times a day C. Apply heat or cold to alleviate symptoms D. Use a soft bristle toothbrush and warmed mouthwash

Correct Answer is D

Explanation

Choice A Rationale: Eating only cold foods is not a common recommendation for preventing trigeminal neuralgia flare-ups.

Choice B Rationale: Massaging the affected side multiple times a day is not typically recommended and may exacerbate symptoms.

Choice C Rationale: Applying heat or cold to alleviate symptoms can vary depending on individual preferences and is not a primary preventive measure for triggering an acute onset.

Choice D Rationale: Using a soft bristle toothbrush and warmed mouthwash is a recommended preventive measure to avoid triggering acute episodes of trigeminal neuralgia. It helps reduce irritation to the affected nerves.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When addressing the needs of a client with a newly diagnosed spinal cord injury, the nurse understands that which of the following are true about nutritional needs?

Correct Answer is B

Explanation

A client with a new diagnosis of trigeminal neuralgia is receiving education to prevent triggering an acute onset. Which of the following will the nurse include in teaching?

Correct Answer is D

Explanation

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