The nurse practitioner provides education about treatments to a 45-year-old woman with a diagnosis of chronic low back pain. Which of the following is NOT considered a first-line treatment for chronic low back pain?
Exercise therapy
Cognitive behavioral therapy
Spinal manipulation
Advice to remain active
The Correct Answer is C
Choice A reason: Exercise therapy is a cornerstone of first-line treatment, improving strength, flexibility, and pain outcomes.
Choice B reason: Cognitive behavioral therapy addresses the psychosocial aspects of chronic pain and is recommended as first-line management.
Choice C reason: Spinal manipulation is not universally considered first-line treatment; it is adjunctive and varies in effectiveness depending on provider and patient.
Choice D reason: Encouraging patients to remain active is first-line advice, as immobility can worsen pain and disability.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Diabetes mellitus is a metabolic disorder and is not a primary contributor to OA; congenital abnormalities alone are less commonly a major factor.
Choice B reason: While overuse and obesity contribute to OA, diabetes mellitus is not considered a key causal factor.
Choice C reason: OA risk increases with mechanical stress on joints, cumulative overuse, obesity that increases joint load, and aging-related degeneration of cartilage, making this the most accurate combination of contributing factors.
Choice D reason: Congenital abnormalities can predispose to OA in some cases, but aging is a far more common contributing factor overall.
Correct Answer is D
Explanation
Choice A reason: Ondansetron is a potent antiemetic that can be effective for nausea and vomiting, but it is typically not the first-line therapy in early pregnancy due to potential, albeit low, risks of fetal malformations. Its use is usually reserved for cases refractory to first-line interventions.
Choice B reason: Metoclopramide can be used for nausea and vomiting in pregnancy, but it carries risks of extrapyramidal side effects and is generally not the first-line recommendation for mild to moderate morning sickness.
Choice C reason: Promethazine is an antihistamine antiemetic that can be used safely in pregnancy but is often reserved for more severe cases or when first-line therapy fails. Sedation is a common side effect.
Choice D reason: Doxylamine, an antihistamine, combined with vitamin B6 (pyridoxine) is considered the first-line treatment for nausea and vomiting in pregnancy. This combination has demonstrated efficacy and safety in early pregnancy, making it the preferred initial therapy for severe morning sickness.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.