A nurse is caring for an older adult client who has chronic pain related to peripheral neuropathy. Which of the following medications should the nurse expect the provider to prescribe for this client?
Cyclobenzaprine
Gabapentin
Naproxen
Oxycodone
The Correct Answer is B
A. Cyclobenzaprine: Cyclobenzaprine is a muscle relaxant used to treat muscle spasms, not neuropathic pain. It is not the appropriate medication for managing pain associated with peripheral neuropathy.
B. Gabapentin: Gabapentin is commonly prescribed for neuropathic pain, such as that associated with peripheral neuropathy. It works by affecting the way nerves transmit pain signals, making it an effective treatment for chronic nerve pain.
C. Naproxen: Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) used for pain relief, but it is typically not effective for neuropathic pain. It is more commonly used for conditions involving inflammation, such as arthritis.
D. Oxycodone: Oxycodone is an opioid pain medication that is generally reserved for severe pain. While it may be prescribed for acute pain, it is not the first-line treatment for chronic neuropathic pain due to its potential for dependence and side effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Holds linens close to the body: Holding linens close to the body reduces the risk of contamination and ensures that the linens do not touch potentially unclean surfaces. This practice helps maintain medical asepsis by preventing the spread of microorganisms.
B. Shakes soiled linens before placing them in the hamper: Shaking soiled linens can cause microorganisms to become airborne and spread. To maintain asepsis, linens should be handled gently and placed directly into the hamper without shaking.
C. Puts unneeded clean linens in the hamper: Clean linens should not be placed in the hamper as they could become contaminated. Clean linens should be stored in a clean area to maintain their aseptic state until needed.
D. Places soiled linens on the floor: Placing soiled linens on the floor introduces the risk of contamination, as the floor is not considered a clean surface. Soiled linens should be placed directly into a designated container to maintain medical asepsis.
Correct Answer is D
Explanation
A. Read the medication label twice prior to administration: Best practice requires reading the label three times (when retrieving, preparing, and before administering), so reading it only twice is insufficient for safety.
B. Ask the client if they have ever taken a similar medication: While helpful, this does not replace the need for the nurse to verify the medication's action, side effects, and interactions independently.
C. Use one patient identifier prior to medication administration: Safe practice requires using two patient identifiers (e.g., name and date of birth), so using only one is inadequate and unsafe.
D. Access the online drug formulary for an unfamiliar medication: This ensures the nurse understands the medication's purpose, dosage, side effects, and contraindications, which is critical for safe first-time administration.
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