A client diagnosed with trigeminal neuralgia experiencing intermittent, sudden, severe pain on the left side of the facE. The nurse identifies which classification of medications is most effective in treating this pain?

Analgesics

Antihistamines

Antibiotics

Anticonvulsants

Answer and Explanation

The Correct Answer is D

Choice A reason: Analgesics are not the most effective classification of medications for treating this pain because they are drugs that relieve pain by blocking pain signals or reducing inflammation, but they do not address the underlying cause of trigeminal neuralgia, which is compression or irritation of the trigeminal nervE.

Choice B reason: Antihistamines are not the most effective classification of medications for treating this pain because they are drugs that block histamine receptors and reduce allergic reactions, but they do not affect the function or activity of the trigeminal nervE.

Choice C reason: Antibiotics are not the most effective classification of medications for treating this pain because they are drugs that kill or inhibit bacteria and treat infections, but they do not treat trigeminal neuralgia unless it is caused by a bacterial infection, which is rarE.

Choice D reason: Anticonvulsants are the most effective classification of medications for treating this pain because they are drugs that stabilize nerve membranes and reduce nerve impulses, which can decrease the frequency and intensity of trigeminal neuralgia attacks

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Correct Answer is B

Explanation

Choice A reason: Performing carotid massage is not an appropriate action for the nurse to take because it can worsen the client's condition by decreasing the blood flow to the brain, causing further ischemia or hemorrhagE. Carotid massage is a technique that involves applying pressure to the carotid artery to slow down the heart rate, which can be dangerous for clients who have a strokE.

Choice B reason: Calling for help is an appropriate action for the nurse to take because it can initiate the rapid response team and activate the stroke protocol, which can improve the client's outcome and survival. The nurse should also assess the client's vital signs, neurological status, and time of symptom onset, and report them to the health care provider.

Choice C reason: Providing the client with water to test the gag reflex is not an appropriate action for the nurse to take because it can increase the risk of aspiration and pneumonia, which can complicate the client's recovery and prognosis. The nurse should avoid giving anything by mouth to the client until their swallowing ability is evaluated by a speech therapist or a swallow study.

Choice D reason: Administering thrombolytics is not an appropriate action for the nurse to take because it requires a physician's order and confirmation of the type and cause of stroke by a computed tomography (CT) scan or magnetic resonance imaging (MRI) scan. Thrombolytics are drugs that dissolve blood clots and restore blood flow, which can be beneficial for clients who have ischemic stroke, but harmful for clients who have hemorrhagic strokE.

A. Nurses performing duties outside of the nurses' typical job description B. A plan for comprehensive practice drills C. Identification of resources to meet anticipated needs for food, water, and supplies D. An internal and external communication plan E. Discharge all surgical clients who are one day or more post-op

Correct Answer is ["B","C","D"]

Explanation

Choice A reason: Nurses performing duties outside of the nurses' typical job description is not a component of a disaster plan. Nurses should only perform tasks that are within their scope of practice, license, and competencE.

Choice B reason: A plan for comprehensive practice drills is a component of a disaster plan. Nurses should be involved in conducting regular drills to test and improve the preparedness and response of the staff and facility.

Choice C reason: Identification of resources to meet anticipated needs for food, water, and supplies is a component of a disaster plan. Nurses should be involved in assessing and securing the necessary resources to provide adequate care and support for the clients and staff during a disaster.

Choice D reason: An internal and external communication plan is a component of a disaster plan. Nurses should be involved in establishing and maintaining effective communication channels with other health care providers, agencies, authorities, media, and community during a disaster.

Choice E reason: Discharge all surgical clients who are one day or more post-op is not a component of a disaster plan. Nurses should not discharge clients without proper assessment, documentation, education, and follow-up arrangements.

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A client diagnosed with trigeminal neuralgia experiencing intermittent, sudden, severe pain on the left side of the facE. The nurse identifies which classification of medications is most effective in treating this pain?

Nursing Test Bank

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Explanation

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