A nurse is caring for a client diagnosed with Trigeminal neuralgia who is suddenly experiencing severe pain on the left side of the face. The nurse identifies which classification of medications is most effective in treating this type of pain?

Analgesics

Antibiotics

Anticonvulsants

Antihistamines

Answer and Explanation

The Correct Answer is C

Choice A reason:

Analgesics, such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs), may provide some relief for mild pain but are generally not effective for the severe, neuropathic pain associated with Trigeminal neuralgia. This condition requires medications that specifically target nerve pain.

Choice B reason:

Antibiotics are used to treat bacterial infections and are not effective for treating neuropathic pain conditions like Trigeminal neuralgia. This type of pain is not caused by an infection, so antibiotics would not be appropriate.

Choice C reason:

Anticonvulsants, such as carbamazepine and gabapentin, are the most effective medications for treating Trigeminal neuralgia. These drugs help stabilize nerve activity and reduce the frequency and intensity of pain episodes. They are considered the first-line treatment for this condition.

Choice D reason:

Antihistamines are used to treat allergic reactions and are not effective for neuropathic pain. They do not have the properties needed to manage the severe pain associated with Trigeminal neuralgia.

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Correct Answer is B

Explanation

Choice A reason:

“It is a test that determines which activities you feel most comfortable performing” is not entirely accurate. While comfort with activities may be assessed, the primary goal of a functional assessment is to evaluate the client’s ability to perform activities of daily living (ADLs) and instrumental activities of daily living (IADLs).

Choice B reason:

“It is a tool that is used to determine your maximum level of self-sufficiency.” This response accurately reflects the purpose of a functional assessment. The assessment evaluates the client’s ability to perform ADLs and IADLs independently, which helps determine the level of assistance they may need.

Choice C reason:

“It is a tool that is used to assess what services you will need a home health aide to perform for you” is partially correct but not comprehensive. While the assessment can help identify the need for home health aide services, its primary purpose is to evaluate overall self-sufficiency and functional status.

Choice D reason:

“It is a tool used by insurance companies to determine qualifications for medical reimbursement” is not the primary purpose of a functional assessment. Although the results may be used for insurance purposes, the main goal is to assess the client’s functional abilities and needs.

A. A negative-pressure isolation room B. A private room C. A semi-private room with a client who has pediculosis capitis D. A positive-pressure isolation room

Correct Answer is B

Explanation

Choice A: A negative-pressure isolation room

A negative-pressure isolation room is typically used for patients with airborne infections, such as tuberculosis or measles, to prevent the spread of infectious agents through the air. Scabies, however, is primarily transmitted through direct skin-to-skin contact and occasionally through contact with contaminated clothing or bedding. Therefore, a negative-pressure isolation room is not necessary for a scabies patient1.

Choice B: A private room

A private room is the most appropriate choice for a client with scabies. This type of room helps prevent the spread of the infestation to other patients and allows for better control of the environment. Scabies is highly contagious and can spread through direct contact with the infested person or indirectly through contaminated items. Isolating the patient in a private room minimizes the risk of transmission and allows for proper infection control measures to be implemented2.

Choice C: A semi-private room with a client who has pediculosis capitis

Placing a scabies patient in a semi-private room with another patient, even one with a different parasitic infection like pediculosis capitis (head lice), is not advisable. Both conditions are highly contagious, and cohabitation increases the risk of cross-contamination and further spread of both infestations. Each condition requires specific treatment and isolation protocols to effectively manage and prevent outbreaks3.

Choice D: A positive-pressure isolation room

A positive-pressure isolation room is designed to protect immunocompromised patients from external contaminants by ensuring that air flows out of the room rather than in. This type of room is not suitable for a scabies patient, as it does not address the primary mode of transmission for scabies, which is direct contact. The focus for scabies management should be on preventing direct and indirect contact with others4.

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A nurse is caring for a client diagnosed with Trigeminal neuralgia who is suddenly experiencing severe pain on the left side of the face. The nurse identifies which classification of medications is most effective in treating this type of pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client scheduled for a functional assessment who asks, “What is the purpose of this assessment?” How should the nurse most appropriately respond to the client?

Correct Answer is B

Explanation

A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client?

Correct Answer is B

Explanation

A community health nurse is conducting an educational program on various environmental pollutants. The nurse should emphasize that clients who have which of the following disorders are especially vulnerable to ozone effects?

A nurse is caring for a client who questions the need for cardiac rehabilitation, stating, “My heart is permanently damaged from the heart attack, so what’s the point of cardiac rehabilitation?” Which response should the nurse prioritize?

An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy?

Which of the following statements indicate the importance of epidemiology to the community health nurse? SELECT ALL THAT APPLY.

A nurse is delegating tasks to the assistive personnel (AP). The nurse should direct the AP to complete which of the following tasks first?

A nursing preceptor is reviewing life expectancy in the twentieth century with a new nurse. The nurse should recognize that which of the following was most responsible for the dramatic increase in life expectancy during the twentieth century?

A nurse is caring for a client receiving rehabilitation for paralysis following a spinal cord injury and diagnosed with reflex incontinence. Which of the following is the highest priority intervention the nurse should include in the plan of care?

A nurse is working with a community at risk for flooding. The nurse is aware that identification of at-risk populations, education of the residents about evacuation routes, and emergency shelters is an example of what level of the National Response Framework?