A nurse is planning to administer medications to a client who has trigeminal neuralgia. Which of the following medications should the nurse plan to administer to manage the client's pain?
Lorazepam
Fluoxetine
Carbamazepine
Methylphenidate
The Correct Answer is C
A. Lorazepam: This medication is an anxiolytic and sedative, not indicated for neuropathic pain or trigeminal neuralgia.
B. Fluoxetine: This is an SSRI antidepressant, primarily used for mood disorders, not for the treatment of neuropathic pain.
C. Carbamazepine: This is the first-line treatment for trigeminal neuralgia. It is an anticonvulsant that stabilizes nerve membranes and reduces the hyperexcitability responsible for pain.
D. Methylphenidate: A CNS stimulant, used for ADHD and narcolepsy, not for trigeminal neuralgia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Sumatriptan is not indicated for mood disorders.
B. This medication treats migraines by constricting cranial blood vessels, relieving headache symptoms.
C. Sumatriptan has no effect on bone density.
D. Relief of chest pain is not a therapeutic use of sumatriptan.
Correct Answer is D
Explanation
A. Check the client's MAR to see what the client received the day before: This does not address the issue of a potential medication error.
B. Ask the client what medication she took yesterday: The client may not accurately recall medication names or dosages.
C. Ask the client if she has any allergies: While important, this does not resolve the issue of the medication discrepancy.
D. Check the prescription in the client's medical record: This is the most appropriate action to verify the correct medication.
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