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?
Fluoxetine.
Methylphenidate.
Lorazepam.
Carbamazepine.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Increased temperature is not a direct indication of naloxone’s effectiveness. Naloxone works by reversing the effects of opioids, which do not typically include fever.
Choice B rationale:
While naloxone can cause an abrupt withdrawal in opioid-dependent individuals, leading to symptoms such as hypertension, it does not typically decrease blood pressure in opioid overdose cases.
Choice C rationale:
Naloxone works by reversing the life-threatening depression of the central nervous system and respiratory system caused by an opioid overdose. Therefore, an increased respiratory rate after administration would indicate that the medication is effective.
Choice D rationale:
Naloxone reverses the effects of opioids, including pain relief. Therefore, a report of decreased pain would not indicate that the medication is effective.
Correct Answer is D
Explanation
Choice A rationale:
Oxycodone overdose typically results in constricted (not dilated) pupils due to its action on the central nervous system.
Choice B rationale:
Oxycodone overdose can cause respiratory depression, leading to slow and shallow breathing (bradypnea), not rapid breathing (tachypnea)
Choice C rationale:
Oxycodone does not typically cause tachycardia. It can cause bradycardia due to its action on the central nervous system.
Choice D rationale:
Sedation is a common effect of oxycodone and can be more pronounced in cases of overdose due to the drug’s depressant effect on the central nervous system.
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