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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Hydrochlorothiazide does not affect heart rate and can be safely given.
B. Lisinopril does not cause bradycardia.
C. Atenolol is a beta-blocker that slows heart rate; withholding is necessary for bradycardia.
D. Aspirin does not influence heart rate and is not contraindicated.

A. Withdraw the NPH insulin last. B. Mix the medications in a 3-mL syringe. C. Administer the medications in two separate syringes. D. Inject air into the regular vial first.

Correct Answer is A

Explanation

A. Withdraw the NPH insulin last: When mixing insulin, the regular (clear) insulin should be drawn into the syringe first, followed by the NPH (cloudy) insulin to avoid contaminating the regular insulin.
B. Mix the medications in a 3-mL syringe: While mixing is correct, the syringe size is not specifically relevant unless the total dose exceeds the syringe capacity. A standard insulin syringe should be used.
C. Administer the medications in two separate syringes: This is unnecessary when mixing regular and NPH insulin is appropriate.
D. Inject air into the regular vial first: Air should be injected into the NPH vial first, then the regular vial.

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Prescribed Medication	Nursing Instruction
Albuterol	"Take your albuterol when you are having difficulty breathing.” "Hold your breath for 20 seconds when taking your albuterol.”
Salmeterol	"Take the salmeterol 5 minutes before the albuterol when you need both medications." "Take the salmeterol 2 times each day."
Fluticasone	"Rinse out your mouth after taking the fluticasone." "Take the fluticasone as needed for an asthma attack."

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has chronic hypertension. The client's morning vital signs include BP 140/80 mm Hg, heart rate 54/min, and respiratory rate 18/min. Which of the following medications should the nurse plan to withhold?

Correct Answer is C

Explanation

A nurse is preparing to administer regular and NPH insulin to a client. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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