Surgical intervention is being considered for a patient with trigeminal neuralgia. The nurse recognizes that which procedure has the least residual effects with a positive outcome?

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Gamma knife radiosurgery. Gamma knife radiosurgery is a non-invasive procedure that uses precise radiation to target the trigeminal nerve, effectively reducing pain associated with trigeminal neuralgia. It has the least residual effects compared to other surgical interventions, as it does not involve invasive techniques or the risks associated with open surgery. Option A) Glycerol rhizotomy involves injecting glycerol into the trigeminal nerve, which can provide relief but may have more side effects compared to gamma knife radiosurgery. Option C) Microvascular decompression is a more invasive surgical procedure that involves moving blood vessels away from the trigeminal nerve. It has a higher risk of complications and longer recovery time compared to gamma knife radiosurgery. Option D) Percutaneous radiofrequency rhizotomy involves using heat to damage the trigeminal nerve, which can provide relief but may have more side effects and potential for nerve damage compared to gamma knife radiosurgery. Educationally, understanding the different surgical interventions for trigeminal neuralgia is crucial for nurses caring for patients with this condition. Knowledge of the least invasive and most effective treatments allows nurses to provide informed care and support to patients undergoing these procedures.

Correct Answer: C

Rationale: In this NCLEX question related to the neurological system, the correct answer is C) Osteoblast. Osteoblasts are bone-forming cells responsible for bone formation through the process of osteogenesis. They play a crucial role in bone remodeling and repair. Osteocytes (A) are mature bone cells that maintain bone tissue but do not actively form new bone. Osteoclasts (B) are responsible for bone resorption, breaking down bone tissue. Sarcomere (D) is a structural unit of myofibrils in muscle cells, not related to bone formation. Understanding the function of each type of bone cell is essential in the context of the neurological system as bones provide support and protection for the nervous system. Knowing the roles of osteoblasts, osteocytes, and osteoclasts is fundamental for nurses and healthcare professionals in managing patients with neurological conditions that may affect bone health. This knowledge is crucial for providing holistic care and understanding the implications of neurological disorders on bone integrity.

Correct Answer: B

Rationale: In the case of a patient diagnosed with torticollis, the correct action for the nurse to provide is option B) Exercises to increase the strength of the muscles. Torticollis, also known as wry neck, is a condition characterized by a twisted or tilted neck due to involuntary muscle contractions. By engaging in specific exercises, the patient can help improve muscle strength and flexibility, which can alleviate the symptoms of torticollis over time. Option A) An immobilizer to hold the bones in place is incorrect because torticollis is primarily a muscular issue rather than a problem with bones that need immobilization. Using an immobilizer would not address the underlying cause of the condition. Option C) A pillow to use to support the knees while sleeping and Option D) Enough pillows to support the patient's head comfortably are also incorrect as they do not directly target the muscles of the neck that are affected in torticollis. While supportive pillows may provide some comfort, they do not address the need for muscle strengthening to improve the condition. From an educational standpoint, understanding the rationale behind the correct answer not only reinforces knowledge of torticollis but also highlights the importance of non-pharmacological interventions such as exercises in managing musculoskeletal conditions. Nurses play a vital role in educating patients on self-care strategies like exercises, empowering them to actively participate in their treatment and recovery process.

Correct Answer: D

Rationale: In the emergency department, the priority intervention for a patient with a stroke is option D, which is the maintenance of respiratory function with a patent airway and oxygen administration. This is crucial because adequate oxygenation is essential for brain function and to prevent further damage in a patient experiencing a stroke. The other options are not the priority interventions for a stroke patient in the emergency department. Option A, intravenous fluid replacement, may be necessary but is not the immediate priority in a stroke situation. Option B, administration of osmotic diuretics, is not the first-line intervention and is typically used later in stroke management. Option C, initiation of hypothermia, is not a standard intervention for stroke in the acute setting. Educationally, it is important for healthcare providers to understand the critical nature of maintaining respiratory function in stroke patients to optimize oxygen delivery to the brain. This knowledge is essential for providing effective care and improving patient outcomes in stroke management. It is vital for nurses and other healthcare professionals to prioritize interventions based on the immediate needs of the patient to ensure the best possible outcome.

Correct Answer: C

Rationale: The correct answer is C) Provide a quiet, dimly lit environment to reduce stimuli that increase muscle tension and anxiety. This intervention is appropriate because it directly addresses the environmental factors that can contribute to exacerbating anxiety in a patient with a headache. A quiet and dimly lit environment can help reduce sensory stimuli, promoting relaxation and potentially alleviating the patient's anxiety. Option A) Help the patient to examine lifestyle patterns and precipitating factors is not the most appropriate intervention in this context as it focuses more on identifying contributing factors rather than addressing the immediate need to reduce anxiety. Option B) Administer medications as ordered to relieve pain and promote relaxation may be necessary for pain relief but does not directly address the anxiety related to lack of knowledge about the headache etiology and treatment. Educationally, it is important for nurses to understand the holistic approach to patient care, considering not only the physical symptoms but also the psychological and environmental factors that can impact a patient's well-being. Providing a calm and soothing environment is a non-invasive, patient-centered intervention that can help manage anxiety and promote comfort in patients experiencing headaches.