The first-line pharmacologic management for dysmenorrhea is:
an oral contraceptive.
an opioid analgesic.
acetaminophen.
a nonsteroidal anti-inflammatory drug (NSAID).
The Correct Answer is D
Rationale:
A. Oral contraceptives can be used for dysmenorrhea, particularly if symptoms are severe or associated with ovulatory cycles, but they are not considered first-line therapy.
B. Opioid analgesics are reserved for severe, refractory pain and are generally avoided due to risk of dependence and side effects.
C. Acetaminophen may provide some pain relief but is less effective than NSAIDs in reducing the prostaglandin-mediated pain of dysmenorrhea.
D. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, are the first-line pharmacologic treatment. They inhibit prostaglandin synthesis, directly addressing the uterine cramping and pain associated with dysmenorrhea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Applying acetic acid to the external genitalia before chemical ablation is NOT recommended. Acetic acid is sometimes used for diagnostic purposes (to highlight lesions by turning them white), but it can irritate the skin and increase the risk of chemical injury when combined with podophyllin.
B. Applying petroleum jelly around the lesions is appropriate because it protects surrounding healthy skin from the caustic effects of podophyllin.
C. Using a cotton-tipped wooden applicator is the correct technique to apply podophyllin precisely to the lesions without spreading it to healthy tissue.
D. Dusting the lesions with talcum powder after ablation helps absorb residual medication and reduce local irritation, which is considered standard post-application care.
Correct Answer is B
Explanation
Rationale:
A. Retapamulin is an antibiotic used for bacterial skin infections, not for scabies.
B. Permethrin 5% cream is the first-line treatment for scabies. It should be applied to the entire body from the neck down (and in infants, also the scalp and face) and left on for 8–14 hours before washing off. A single application is often sufficient, though a second dose may be recommended after 7–14 days if symptoms persist.
C. Clotrimazole is an antifungal used for dermatophyte infections and candidiasis, not for scabies.
D. Hydrocortisone 1% cream can help relieve itching and inflammation but does not treat the underlying scabies infestation.
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