The client has fallen off his mountain bike and sustained multiple abrasions to both of his knees. Which would be appropriate medication(s) for pain management for this client? (Select All That Apply)

Acetaminophen

Aspirin

Hydrocodone

Ibuprofen

Morphine

Answer and Explanation

Correct Answer : A,D

A. Acetaminophen

Acetaminophen is a non-opioid analgesic that can be used for mild to moderate pain relief. It is suitable for managing pain associated with abrasions.

B. Aspirin

Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) with analgesic and anti-inflammatory properties. While it can be used for pain relief, it may increase the risk of bleeding, and its use is generally avoided in acute injuries with bleeding.

C. Hydrocodone

Hydrocodone is an opioid analgesic and is typically reserved for moderate to severe pain. It may not be the first choice for managing pain associated with abrasions unless the pain is more intense.

D. Ibuprofen

Ibuprofen is a NSAID that provides analgesic and anti-inflammatory effects. It is suitable for managing pain and inflammation associated with abrasions.

E. Morphine

Morphine is a strong opioid analgesic and is generally reserved for severe pain, such as post-surgical pain or pain associated with more significant injuries. It may be excessive for managing pain from abrasions.

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Correct Answer is D

Explanation

A. Bradycardia

Bradycardia is not a common side effect of diphenoxylate with atropine. Atropine, which is included in the combination, has anticholinergic effects that can lead to an increased heart rate (tachycardia), not bradycardia.

B. Fluid retention

Fluid retention is not a common side effect of diphenoxylate with atropine. In fact, the medication is used to treat severe diarrhea, and the goal is to decrease fluid loss associated with diarrhea rather than causing fluid retention.

C. Nervousness and tremors

Nervousness and tremors are not common side effects of diphenoxylate with atropine. Atropine's anticholinergic effects may cause nervousness, but these effects are generally not prominent at therapeutic doses.

D. Respiratory depression

This is the correct choice. Respiratory depression is a potential side effect of diphenoxylate with atropine, particularly if the medication is misused or taken in excessive amounts. Atropine is included in the combination to discourage misuse, as it can cause unpleasant anticholinergic effects.

A. Combination therapy has the best outcomes when omeprazole, propranolol, bismuth salicylate are used. B. Combination therapy has the best outcomes when omeprazole, clarithromycin, and amoxicillin are used C. The use of sucralfate along with antibiotics is the best combination therapy for peptic ulcer disease D. Various antibiotics are used to eradicate the bacteria that are responsible for the development of peptic ulcer disease

Correct Answer is B

Explanation

A. Combination therapy has the best outcomes when omeprazole, propranolol, bismuth salicylate are used.

Propranolol is not an antibiotic and is not part of the standard combination therapy for H. pylori. Bismuth subsalicylate may be used in some regimens, but the standard involves a proton pump inhibitor, clarithromycin, and amoxicillin or metronidazole.

B. Combination therapy has the best outcomes when omeprazole, clarithromycin, and amoxicillin are used.

This is the correct choice. The standard combination therapy for H. pylori infection includes a proton pump inhibitor (such as omeprazole), clarithromycin, and amoxicillin or metronidazole.

C. The use of sucralfate along with antibiotics is the best combination therapy for peptic ulcer disease.

Sucralfate is not typically part of the standard antibiotic combination therapy for H. pylori. It is a cytoprotective agent that may be used to treat ulcers but is not a primary component in eradicating H. pylori.

D. Various antibiotics are used to eradicate the bacteria that are responsible for the development of peptic ulcer disease.

While this statement is true, it does not specify the standard combination therapy. The most common antibiotics used in combination therapy for H. pylori include clarithromycin and amoxicillin or metronidazole, along with a proton pump inhibitor.

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The client has fallen off his mountain bike and sustained multiple abrasions to both of his knees. Which would be appropriate medication(s) for pain management for this client? (Select All That Apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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