A client diagnosed with trigeminal neuralgia is 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
The Correct Answer is D
Choice A reason: Analgesics are medications that relieve pain by blocking pain signals or reducing inflammation. They include nonsteroidal anti-inflammatory drugs (NSAIDs), opioids, and acetaminophen. However, analgesics are not very effective in treating trigeminal neuralgia, as they do not address the underlying cause of the pain, which is the compression or irritation of the trigeminal nerve.
Choice B reason: Antihistamines are medications that block the effects of histamine, a chemical that causes allergic reactions such as itching, sneezing, and swelling. They include diphenhydramine, cetirizine, and loratadine. Antihistamines are not effective in treating trigeminal neuralgia, as they do not affect the trigeminal nerve or its function.
Choice C reason: Antibiotics are medications that kill or inhibit the growth of bacteria that cause infections. They include penicillin, amoxicillin, and ciprofloxacin. Antibiotics are not effective in treating trigeminal neuralgia, as they do not target the trigeminal nerve or its pathology.
Choice D reason: Anticonvulsants are medications that prevent or reduce the frequency and severity of seizures by stabilizing the electrical activity of the brain. They include carbamazepine, gabapentin, and phenytoin. Anticonvulsants are the most effective medications in treating trigeminal neuralgia, as they reduce the abnormal firing of the trigeminal nerve that causes the pain. Anticonvulsants are considered the first-line therapy for trigeminal neuralgia and can provide significant relief for most clients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Delivering a urine specimen to the laboratory is not a priority task, as it does not affect the client's immediate health or safety. This task can be done later or delegated to another staff member.
Choice B reason: Feeding a client who has bilateral casts is an important task, as it helps the client meet their nutritional needs and prevents complications such as pressure ulcers. However, this task is not as urgent as monitoring blood glucose levels, as it can be done within a reasonable time frame without causing harm to the client.
Choice C reason: Performing blood glucose monitoring of a client who has a prescription for short-acting insulin is a priority task, as it determines the dosage of insulin that the client needs to receive. Insulin is a high-alert medication that can cause serious adverse effects if given incorrectly. Therefore, this task should be done first by the AP who has been trained and certified to do so.
Choice D reason: Obtaining an extra box of tissues for a client who is concerned about running out of them is a low-priority task, as it does not affect the client's physical or psychological well-being. This task can be done at any time or delegated to another staff member.
Correct Answer is C
Explanation
Choice A reason: A negative-pressure isolation room is not a suitable room for a client who has scabies. A negative-pressure isolation room is used for clients who have airborne infections, such as tuberculosis or chickenpox. It prevents the contaminated air from escaping the room and infecting other people.
Choice B reason: A positive-pressure isolation room is not a suitable room for a client who has scabies. A positive-pressure isolation room is used for clients who have compromised immune systems, such as those undergoing bone marrow transplants or chemotherapy. It prevents the outside air from entering the room and exposing the client to germs.
Choice C reason: A private room is a suitable room for a client who has scabies. Scabies is a skin infection caused by tiny mites that burrow under the skin and cause intense itching and rash. Scabies can spread easily through direct skin-to-skin contact or sharing personal items, such as clothing or bedding. A private room can prevent the transmission of scabies to other clients or staff.
Choice D reason: A semi-private room with a client who has pediculosis capitis is not a suitable room for a client who has scabies. Pediculosis capitis is an infestation of head lice that feeds on human blood and causes itching and irritation on the scalp. Pediculosis capitis can also spread easily through direct contact or sharing personal items, such as combs or hats. Sharing a room with another client who has pediculosis capitis can increase the risk of cross-infection and complicate the treatment of both conditions.
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