A client newly diagnosed with trigeminal neuralgia asks the nurse to explain why it hurts so much when an episode occurs. The nurse would explain that the pain of trigeminal neuralgia is the result of which of the following?
  1. Stimulation of the nerve by temperature or pressure
  2. Irritation due to cellular effects of hypoglycemia
  3. Release of epinephrine during the fight-or-flight response
  4. An immune system reaction to cold and influenza
Explanation
Answer - A - The pain of trigeminal neuralgia is triggered by stimulation of the sensory fibers of the trigeminal nerve. Examples of pressure-related triggering events include shaving, brushing the teeth, washing the face, and eating or drinking. Examples of temperature-related triggers include environmental changes and hot or cold food and drink. The other options listed do not initiate pain of this disorder.
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