A nurse is planning to administer medications to a client who has trigeminal neuralgia. Which of the following medications should the nurse plan to administer to manage the client's pain?
Lorazepam
Fluoxetine
Carbamazepine
Methylphenidate
The Correct Answer is C
A. Lorazepam: This medication is an anxiolytic and sedative, not indicated for neuropathic pain or trigeminal neuralgia.
B. Fluoxetine: This is an SSRI antidepressant, primarily used for mood disorders, not for the treatment of neuropathic pain.
C. Carbamazepine: This is the first-line treatment for trigeminal neuralgia. It is an anticonvulsant that stabilizes nerve membranes and reduces the hyperexcitability responsible for pain.
D. Methylphenidate: A CNS stimulant, used for ADHD and narcolepsy, not for trigeminal neuralgia.
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Related Questions
Correct Answer is D
Explanation
A. "I can take ibuprofen to treat headaches.": Ibuprofen can increase the risk of kidney damage and should be avoided in transplant clients.
B. "I will get out of bed slowly in the morning.": While this is good general advice, it is not specific to cyclosporine therapy.
C. "I can expect hair loss when taking this medication.": Hair loss is not a common side effect of cyclosporine.
D. "I will call my doctor if I have a sore throat.": Cyclosporine suppresses the immune system, making the client more susceptible to infections, such as sore throat.
Correct Answer is A
Explanation
A. Sore throat: Sore throat is a potential sign of agranulocytosis, a serious adverse effect of carbamazepine, and should be reported to the provider immediately.
B. Increased salivation: Increased salivation is not typically associated with carbamazepine and is not considered a common adverse effect.
C. Urge incontinence: Urge incontinence is not a known adverse effect of carbamazepine.
D. Gingivitis: Gingivitis is not a typical adverse effect of carbamazepine and is not generally a concern for this medication.
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