A client diagnosed with trigeminal neuralgia is experiencing intermittent, sudden, severe pain on the left side of the face. The nurse identifies which classification of medications is most effective in treating this pain.
Analgesics
Antihistamines
Antibiotics
Anticonvulsants
The Correct Answer is D
Choice A reason: Analgesics are medications that relieve pain by blocking pain signals or reducing inflammation. They include nonsteroidal anti-inflammatory drugs (NSAIDs), opioids, and acetaminophen. However, analgesics are not very effective in treating trigeminal neuralgia, as they do not address the underlying cause of the pain, which is the compression or irritation of the trigeminal nerve.
Choice B reason: Antihistamines are medications that block the effects of histamine, a chemical that causes allergic reactions such as itching, sneezing, and swelling. They include diphenhydramine, cetirizine, and loratadine. Antihistamines are not effective in treating trigeminal neuralgia, as they do not affect the trigeminal nerve or its function.
Choice C reason: Antibiotics are medications that kill or inhibit the growth of bacteria that cause infections. They include penicillin, amoxicillin, and ciprofloxacin. Antibiotics are not effective in treating trigeminal neuralgia, as they do not target the trigeminal nerve or its pathology.
Choice D reason: Anticonvulsants are medications that prevent or reduce the frequency and severity of seizures by stabilizing the electrical activity of the brain. They include carbamazepine, gabapentin, and phenytoin. Anticonvulsants are the most effective medications in treating trigeminal neuralgia, as they reduce the abnormal firing of the trigeminal nerve that causes the pain. Anticonvulsants are considered the first-line therapy for trigeminal neuralgia and can provide significant relief for most clients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Giving care with a focus on the aggregate's needs is not the best description of client-focused community-based nursing, as it implies that the nurse is providing care to a population or a group of individuals who share some common characteristics or risk factors. This is more aligned with the concept of population-focused community-based nursing, which aims to improve the health outcomes of a defined group of people.
Choice B reason: A philosophy that guides family-centered illness care is the best description of client-focused community-based nursing, as it reflects the core values and principles of this approach. Client-focused community-based nursing is a model of care that emphasizes the individual and family as the unit of care, rather than the disease or the health problem. It involves collaborating with the client and family to identify their needs, preferences, strengths, and resources, and providing holistic, culturally sensitive, and evidence-based care that promotes health, wellness, and quality of life.
Choice C reason: Providing care with a focus on the group's needs is not the best description of client-focused community-based nursing, as it suggests that the nurse is providing care to a collective or a social unit that shares some common goals or interests. This is more aligned with the concept of community-oriented community-based nursing, which aims to improve the health status of a specific community or subpopulation.
Choice D reason: A value system in which all clients receive optimal care is not the best description of client-focused community-based nursing, as it does not capture the essence or uniqueness of this approach. While it is true that client-focused community-based nursing strives to provide high-quality care to all clients, it also recognizes that each client and family has different needs, preferences, and expectations that require individualized and tailored interventions.
Correct Answer is C
Explanation
Choice A reason: Delivering a urine specimen to the laboratory is not a priority task, as it does not affect the client's immediate health or safety. This task can be done later or delegated to another staff member.
Choice B reason: Feeding a client who has bilateral casts is an important task, as it helps the client meet their nutritional needs and prevents complications such as pressure ulcers. However, this task is not as urgent as monitoring blood glucose levels, as it can be done within a reasonable time frame without causing harm to the client.
Choice C reason: Performing blood glucose monitoring of a client who has a prescription for short-acting insulin is a priority task, as it determines the dosage of insulin that the client needs to receive. Insulin is a high-alert medication that can cause serious adverse effects if given incorrectly. Therefore, this task should be done first by the AP who has been trained and certified to do so.
Choice D reason: Obtaining an extra box of tissues for a client who is concerned about running out of them is a low-priority task, as it does not affect the client's physical or psychological well-being. This task can be done at any time or delegated to another staff member.
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