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 A
Explanation
A. Quadrivalent human papillomavirus: HPV vaccine is recommended for children aged 11-12 years to prevent certain types of HPV-related cancers.
B. Rotavirus: This vaccine is given to infants; it is not indicated for an 11-year-old.
C. Pneumococcal conjugate: This is typically completed in early childhood; not part of the routine schedule for an 11-year-old.
D. Hepatitis B: Typically administered during infancy, unless the child is unvaccinated or at high risk.
Correct Answer is B
Explanation
A. Tachycardia: Bradycardia, rather than tachycardia, is more typical of opioid toxicity.
B. Sedation: Oxycodone toxicity causes CNS depression, resulting in sedation, respiratory depression, and pinpoint pupils.
C. Dilated pupils: Pinpoint pupils are a classic sign of opioid toxicity.
D. Tachypnea: Respiratory depression, rather than tachypnea, is expected in opioid toxicity.
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