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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: It is a tool that is used to determine your maximum level of self-sufficiency as the appropriate nursing response, as it accurately describes the purpose and function of the FIM. The FIM measures how much assistance you need to perform 18 activities of daily living, such as eating, dressing, toileting, walking, and communicating. The FIM helps to evaluate your functional status, monitor your progress, and plan your rehabilitation goals and interventions. ¹²³

Choice B reason: It is a test that determines which activities you feel most comfortable performing is not an appropriate nursing response, as it does not reflect the objective and standardized nature of the FIM. The FIM is not a subjective or self-reported measure of your preferences or comfort level, but rather an observational and rating scale that assesses your actual performance and independence in various tasks. The FIM uses a 7-point ordinal scale that ranges from 1 (total assistance) to 7 (complete independence) and requires trained and certified raters to administer and score it. ¹²³

Choice C reason: It is a tool used by insurance companies to determine qualifications for medical reimbursement is not an appropriate nursing response, as it does not capture the primary purpose and benefit of the FIM. The FIM is not a financial or administrative tool that determines your eligibility or coverage for medical services, but rather a clinical and research tool that measures your functional outcomes and quality of care. The FIM provides a uniform system of measurement for disability based on the International Classification of Impairment, Disabilities, and Handicaps and allows for comparison and evaluation of different rehabilitation programs and settings. ¹²³

Choice D reason: It is a tool that is used to assess what services you will need a home health aide to perform for you is not an appropriate nursing response, as it does not reflect the comprehensive and multidimensional scope of the FIM. The FIM is not a specific or limited tool that assesses only your home care needs or dependence on others, but rather a general and broad tool that assesses your functional abilities and disabilities in various domains and environments. The FIM covers both motor and cognitive aspects of functioning, such as comprehension, expression, social interaction, problem-solving, and memory. The FIM can be used with all diagnoses within rehabilitation and can be applied across different levels and settings of care.

A. Collaborate with a physical therapist to develop programs for injured employees to return to work B. Help plant workers identify signs of carpal tunnel syndrome C. Organize an influenza immunization campaign D. Teach plant workers about proper lifting techniques

Correct Answer is B

Explanation

Choice A: Collaborate with a physical therapist to develop programs for injured employees to return to work. This is incorrect because this is a tertiary prevention strategy, not a secondary prevention strategy. Tertiary prevention aims to restore function and prevent disability or complications after an injury or illness has occurred.

Choice B: Help plant workers identify signs of carpal tunnel syndrome. This is correct because this is a secondary prevention strategy. Secondary prevention aims to detect and treat health problems early before they become more serious or chronic. Carpal tunnel syndrome is a common occupational health problem that can cause pain, numbness, and weakness in the hand and wrist. Early identification and treatment can prevent permanent nerve damage and disability.

Choice C: Organize an influenza immunization campaign. This is incorrect because this is a primary prevention strategy, not a secondary prevention strategy. Primary prevention aims to prevent disease or injury from occurring in the first place, by reducing exposure or risk factors. Influenza immunization can protect plant workers from getting infected by the flu virus and reduce the spread of the disease.

Choice D: Teach plant workers about proper lifting techniques. This is incorrect because this is also a primary prevention strategy, not a secondary prevention strategy. Proper lifting techniques can prevent musculoskeletal injuries such as sprains, strains, and herniated discs, by avoiding excessive stress on the spine and joints.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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