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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?

A.

Fluoxetine.

B.

Methylphenidate.

C.

Lorazepam.

D.

Carbamazepine.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Fluoxetine is an antidepressant. While some antidepressants are used for chronic pain management, fluoxetine is not typically used for this purpose.

Choice B rationale:

Methylphenidate is a stimulant used to treat attention deficit hyperactivity disorder (ADHD) and is not used for pain management.

Choice C rationale:

Lorazepam is a benzodiazepine used for treating anxiety, seizures, and insomnia. It is not typically used for managing neuralgia pain.

Choice D rationale:

Carbamazepine is an anticonvulsant that is commonly used to manage trigeminal neuralgia. It helps to reduce nerve impulses that cause pain.


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Related Questions

Correct Answer is ["1"]

Explanation

To solve this problem, we first need to convert the client’s weight from pounds to kilograms. Then, we can calculate the total amount of amikacin needed. Finally, we can find out how many milliliters of amikacin injection the nurse should administer.

  1. Convert the client’s weight to kilograms: Given that 1 kg = 2.2 lbs, we can calculate the client’s weight in kilograms as follows:

Weightinkg=WeightinlbsConversionfactor=110lbs2.2lbs/kg≈50kgWeightinkg=ConversionfactorWeightinlbs​=2.2lbs/kg110lbs​≈50kg

  1. Calculate the total amount of amikacin needed: The doctor ordered 5 mg of amikacin per kg of body weight, so the total amount of amikacin needed is:

Totalamikacin=Doseperkg×Weightinkg=5mg/kg×50kg=250mgTotalamikacin=Doseperkg×Weightinkg=5mg/kg×50kg=250mg

  1. Find out how many milliliters of amikacin injection the nurse should administer: Given that the available amikacin injection is 250 mg/mL, we can calculate the volume of injection needed as follows:

Volumeofinjection=TotalamikacinConcentrationofinjection=250mg250mg/mL=1mLVolumeofinjection=ConcentrationofinjectionTotalamikacin​=250mg/mL250mg​=1mL

So, the nurse should administer 1 mL of amikacin injection.

Correct Answer is B

Explanation

Choice A rationale:

Asking the client to demonstrate dose delivery can be part of patient education and helps ensure that the client understands how to use the PCA device. This action does not require intervention.

Choice B rationale:

The nurse administering a PCA dose for the client requires intervention. PCA stands for “Patient-Controlled Analgesia,” meaning that only the patient should administer doses to themselves. This prevents overdosing and ensures that pain medication is administered according to the patient’s needs.

Choice C rationale:

Reassuring the client that the PCA device will not cause an overdose is appropriate because PCA devices are designed with safety measures to prevent overdosing.

Choice D rationale:

Monitoring for oversedation is an important part of care for a client using a PCA device. This action does not require intervention.

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