The nurse is caring for a client with trigeminal neuralgia. Which medical prescription would the nurse anticipate?

Hydrocodone and acetaminophen 5/500 mg PO

Carbamazepine 200 mg Po

Methotrexate 5 mg PD

Linezolid 600 mg PO

Answer and Explanation

The Correct Answer is B

A. Hydrocodone and acetaminophen 5/500 mg PO
Opioids are generally ineffective for neuropathic pain, and trigeminal neuralgia is best managed with anticonvulsants.

B. Carbamazepine 200 mg PO
Carbamazepine (an anticonvulsant) is the first-line treatment for trigeminal neuralgia. It helps reduce nerve excitability and pain episodes.

C. Methotrexate 5 mg PO
Methotrexate is an immunosuppressant and chemotherapy drug, not used for trigeminal neuralgia.

D. Linezolid 600 mg PO
Linezolid is an antibiotic used for bacterial infections, not neuropathic pain.

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Correct Answer is D

Explanation

A. Elevate the extremity and apply an ice pack to the injured area

Elevating the extremity can help reduce swelling, but applying ice is not recommended for chemical burns as it can cause further tissue damage.

B. Contact poison control to determine the best neutralizing agent

While contacting poison control is important, it should not be the immediate first action in an emergency setting.

C. Apply a sterile dressing, wrapping the fingers separately

This is important for protecting the wound, but it is not the immediate first action needed for chemical burns.

D. Irrigate the affected area with room temperature water

Immediate irrigation with room temperature water helps to remove the chemical from the skin and dilute its effect, which is the first critical step in managing a chemical burn.

A. epinephrine 1mg IV. B. acetaminophen 650mg PD. C. diphenhydramine 50mg IV. D. furosemide 40mg PO.

Correct Answer is C

Explanation

A. Epinephrine 1 mg IV
Epinephrine is used for severe anaphylaxis. This reaction is more consistent with a mild allergic (febrile) transfusion reaction, which does not require epinephrine.

B. Acetaminophen 650 mg PO
Acetaminophen is used for febrile reactions but does not treat the allergic symptoms (itching, urticaria).

C. Diphenhydramine 50 mg IV
Diphenhydramine (Benadryl) is given to treat mild allergic transfusion reactions such as flushing, itching, and urticaria.

D. Furosemide 40 mg PO
Furosemide (Lasix) is given between blood transfusions to prevent fluid overload, not for allergic reactions.

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The nurse is caring for a client with trigeminal neuralgia. Which medical prescription would the nurse anticipate?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who presents with a chemical burn to the right hand, what should the nurse do first?

Correct Answer is D

Explanation

Correct Answer is C

Explanation

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