A nurse is assisting with providing care for an adolescent client who has neuropathic pain. Which of the following medications should the nurse anticipate administering?
Oxycodone
Gabapentin
Acetaminophen
Duloxetine
The Correct Answer is B
Rationale:
A) Oxycodone is an opioid analgesic typically used for moderate to severe pain but may not be the first choice for neuropathic pain.
B) Gabapentin is an anticonvulsant medication commonly used for neuropathic pain management due to its ability to modulate nerve activity.
C) Acetaminophen is a mild analgesic that may provide some relief for mild to moderate pain but is not typically used as the primary treatment for neuropathic pain.
D) Duloxetine is a serotonin-norepinephrine reuptake inhibitor (SNRI) antidepressant that can also be used for neuropathic pain management, but it may not be the first-line choice in adolescents.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The FLACC pain rating scale is appropriate for infants and young children, assessing pain based on Face, Legs, Activity, Cry, and Consolability, making it suitable for a 5-month-old infant.
B. The COMFORT pain rating scale is generally used for children who are unable to communicate their pain, typically in older children or adolescents, and is less suitable for this age group.
C. The FACES pain rating scale is designed for children aged 3 and older who can identify facial expressions but is not appropriate for a 5-month-old infant.
D. The CRIES pain rating scale is also used for infants but is more specific to neonates (0-6 months) and measures crying, oxygen requirement, increased vital signs, and facial expressions, making it less applicable than the FLACC scale for this specific postoperative context.
Correct Answer is C
Explanation
Rationale:
A) Watching TV before bed can be stimulating and disrupt sleep patterns.
B) Allowing the child to fall asleep in the parent's bed and then moving them to their own bed can create dependency and disrupt sleep patterns.
C) This statement shows that the parent understands the importance of hydration and avoiding caffeine or sugar before bed.
D) Eating dinner too close to bedtime can cause indigestion, reflux or nightmares and also disrupts the child’s metabolism.
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