Initial pharmacologic treatment for pain in an adolescent recently diagnosed with epicondylitis is:
an intra-articular corticosteroid injection.
a cox-2 inhibitor.
oral nonsteroidal anti-inflammatory drug (NSAID).
oral acetaminophen with codeine.
The Correct Answer is C
Rationale:
A. Intra-articular corticosteroid injections are generally reserved for persistent or severe cases that do not respond to conservative therapy; they are not first-line.
B. COX-2 inhibitors are a type of NSAID but are not typically first-line due to cost and cardiovascular risk considerations in otherwise healthy adolescents.
C. Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, are the initial pharmacologic treatment for epicondylitis. They reduce inflammation and relieve pain, complementing rest, activity modification, and physical therapy.
D. Oral acetaminophen with codeine is not recommended initially due to risks of opioid use, side effects, and limited anti-inflammatory effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Giardia infections can persist or recur; monitoring is recommended even if symptoms improve.
B. 7–14 days may be too soon for reliable detection of persistent infection, as cysts may not yet be shed consistently.
C. A follow-up stool specimen 3 to 4 weeks after treatment ensures eradication of Giardia lamblia and confirms that the infection has resolved, especially since cyst shedding may be intermittent.
D. Testing immediately upon completion of metronidazole may yield false-negative results due to intermittent cyst shedding; waiting a few weeks provides a more accurate assessment.
Correct Answer is D
Explanation
Rationale:
A. Wearing lap and shoulder belts is essential for all passengers, including children, to reduce injury risk in car accidents.
B. Bicycle helmets significantly decrease the risk of head injury and should always be worn by children while riding.
C. Children under 13 years of age are generally safer in the backseat than the front seat due to airbag risks.
D. Using a multipurpose lighter to ignite fireworks is unsafe and should never be recommended to children. Fireworks should only be handled by adults, and children should be taught not to light fireworks themselves to prevent burns, eye injuries, or accidental fires.
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