A 56-year-old man with Type 2 diabetes reports pain in his feet that has a burning quality. Which of the following is the most appropriate treatment?
Hydrocodone (Norco)
Gabapentin (Neurontin)
Acetaminophen (Tylenol)
Botulinum toxin (Botox)
The Correct Answer is B
Choice A reason: Hydrocodone is an opioid and is generally not first-line for chronic neuropathic pain, due to dependency risks and limited efficacy for burning neuropathic pain.
Choice B reason: This choice is correct because gabapentin is a first-line treatment for diabetic neuropathic pain. It targets nerve hyperexcitability and reduces burning, tingling, and neuropathic discomfort.
Choice C reason: Acetaminophen is useful for nociceptive pain but is not effective for neuropathic pain caused by diabetic peripheral neuropathy.
Choice D reason: Botulinum toxin is used for muscle spasticity or localized pain syndromes, not generalized diabetic neuropathy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: NDI is not caused by a lack of antidiuretic hormone (ADH); that would describe central diabetes insipidus. In NDI, the kidneys are unresponsive to ADH despite normal or elevated hormone levels.
Choice B reason: NDI can be linked to genetic mutations, particularly X-linked forms, which predominantly affect males. This makes this statement correct.
Choice C reason: NDI is characterized by normal or even elevated ADH levels because the kidney fails to respond appropriately, leading to excessive urination.
Choice D reason: A hallmark of NDI is the production of large volumes of dilute urine, which is a direct result of renal insensitivity to ADH.
Correct Answer is C
Explanation
Choice A reason: Claustrophobia may cause discomfort or anxiety during MRI, but it is not an absolute contraindication; sedation or open MRI can be used.
Choice B reason: Essential hypertension is not a contraindication; blood pressure is monitored but MRI can still be performed safely.
Choice C reason: Implanted defibrillators can malfunction or pose a serious risk in the strong magnetic field of MRI, making this an absolute contraindication unless the device is MRI-compatible.
Choice D reason: Intrauterine devices are generally safe for MRI; they may cause minor artifact but do not pose significant risk.
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