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 B
Explanation
Rationale:
A) Weight loss is a common side effect of methylphenidate, so expecting the child to gain weight would not be accurate.
B) Using charts to assist with organizing the child's day is a helpful strategy for managing ADHD symptoms and promoting organization and structure.
C) Alternating the study area weekly may not provide the consistency and routine that can be beneficial for children with ADHD.
D) Methylphenidate is typically taken on a regular schedule, rather than as needed, to maintain consistent therapeutic levels in the bloodstream.
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.
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