A nurse is caring for a client who has diabetes mellitus and peripheral neuropathy in her lower extremities. Which of the following medications should the nurse expect the provider to prescribe to manage the client's neuropathic pain?
Methadone
Hydrocodone
Morphine
Gabapentin
The Correct Answer is D
A. Methadone Methadone is an opioid used primarily for severe pain and opioid dependency.
B. Hydrocodone Hydrocodone is an opioid used for moderate to severe pain but not specifically for neuropathic pain.
C. Morphine Morphine is an opioid used for severe pain but not specifically for neuropathic pain.
D. Gabapentin Gabapentin is an anticonvulsant medication that is commonly used to treat neuropathic pain, making it appropriate for diabetic neuropathy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Give the client more than one choice for resolving the conflict. While providing choices can be beneficial in some situations, it is not a direct action to ensure immediate environmental safety when a client is escalating aggressively.
B. Move toward the client using an aggressive stance. This approach is inappropriate and can escalate the situation further. A calm and non-threatening demeanor is essential in managing an aggressive client.
C. Choose two staff members to represent the staff and speak to the client. Having multiple staff members engage with an agitated client can sometimes help, but it’s crucial that any interaction is done calmly and without escalating the situation.
D. Stand between the client and the doorway of the room. This is the most appropriate action to ensure safety. Positioning yourself between the client and the exit can prevent the client from leaving the room and potentially harming themselves or others while ensuring a safe space to de-escalate.
Correct Answer is D
Explanation
A. Macule: A macule is a flat, discolored spot on the skin, less than 1 cm in diameter. The described mass is elevated, so this term is incorrect.
B. Vesicle: A vesicle is a small, fluid-filled blister. The described mass is not fluid-filled, so this term is incorrect.
C. Papule: A papule is a small, solid, elevated lesion, usually less than 1 cm in diameter. The described mass is larger than a papule.
D. Nodule: A nodule is a solid, elevated lesion that is larger than a papule (usually more than 1 cm in diameter). The described mass fits this description.
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