A 15-year-old patient sustained an open fracture of the left tibia. The LEAST likely pharmacologic consideration would be:
oral nonsteroidal anti-inflammatory drugs (NSAIDs) for mild pain.
opioids for moderate to severe pain.
tetanus toxoid.
a muscle relaxant.
The Correct Answer is D
Rationale:
A. Oral NSAIDs can be used for mild pain management in fractures and are commonly considered.
B. Opioids are appropriate for moderate to severe pain associated with open fractures.
C. Tetanus toxoid is important for prophylaxis in open fractures to prevent tetanus infection.
D. Muscle relaxants are the least likely pharmacologic consideration in the acute management of an open tibial fracture, as they do not address the primary issues of pain control, infection prevention, or tetanus prophylaxis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Acetaminophen with codeine is generally not recommended in children for migraines due to risks of respiratory depression, dependence, and variable metabolism.
B. Tricyclic antidepressants may be used as preventive therapy for frequent or severe migraines but are not first-line for acute relief.
C. Sumatriptan (Imitrex) is a selective serotonin receptor agonist used for acute migraine attacks in children and adolescents. It can provide effective relief when NSAIDs and lifestyle modifications fail.
D. Chloral hydrate is a sedative-hypnotic and is not indicated for treating migraines.
Correct Answer is C
Explanation
Rationale:
A. HbA1c <6.5% may be too stringent for young children, increasing the risk of hypoglycemia.
B. HbA1c <7.0% is often targeted for adolescents and adults but may be less safe for younger children.
C. HbA1c <7.5% is the recommended glycemic target for children aged 6–12 years with type 1 diabetes mellitus, balancing optimal glucose control with minimizing hypoglycemia risk.
D. HbA1c <8.0% may be acceptable in certain circumstances (e.g., recurrent severe hypoglycemia) but is less optimal for long-term glycemic management.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.