Which of the following is an EXCLUSION for the self-care treatment of musculoskeletal pain?
Patient is 13 years old
Arm pain that has lasted 5 days
Pelvic pain for 3 days
Pain Scale Score 4/10
The Correct Answer is C
A. Patient is 13 years old: Adolescents can generally use self-care measures for mild musculoskeletal pain if no red flags are present. Age alone, especially above 12 years, does not automatically exclude a patient from appropriate OTC or non-pharmacologic management.
B. Arm pain that has lasted 5 days: Acute musculoskeletal pain lasting less than 7 days without worsening severity or associated complications is typically appropriate for self-treatment. Monitoring and conservative management are usually sufficient within this timeframe.
C. Pelvic pain for 3 days: Pelvic pain is not typically classified as simple musculoskeletal pain and may indicate underlying conditions involving reproductive, urinary, or gastrointestinal systems. This requires further medical evaluation rather than self-care, making it an exclusion.
D. Pain Scale Score 4/10: Mild to moderate pain (generally ≤5/10) is considered appropriate for self-care with analgesics and supportive measures. This level of pain does not suggest severe pathology requiring immediate medical evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. Imodium (loperamide): Loperamide is an antidiarrheal that slows intestinal motility, helping control symptoms of diarrhea during travel. It is useful for symptomatic relief, especially in mild to moderate cases of traveler's diarrhea, but should be used cautiously if fever or bloody stools are present, as these may indicate a more serious infection.
B. Bottled water: Safe drinking water is crucial to prevent travel-related gastrointestinal infections. Contaminated water is a common source of diarrhea in Central America, so carrying bottled or properly treated water helps reduce the risk of infection.
C. Bismuth subsalicylate: This medication can prevent and treat traveler's diarrhea by reducing inflammation in the gut and exerting mild antibacterial effects. It can also help relieve nausea and cramping, making it a versatile choice for travelers in areas with limited access to medical care.
D. A generic brand of digestive enzymes: Digestive enzymes assist with nutrient breakdown but do not prevent or treat diarrhea caused by infections. They are not indicated for travel-related gastrointestinal illnesses and would not address the acute management of diarrhea.
E. A thermometer: Monitoring body temperature is important to detect fever, which may indicate a more serious infection requiring medical attention. Early recognition of fever can guide timely treatment decisions and prevent complications.
Correct Answer is A
Explanation
A. The patient should not take both of these together because it is a therapeutic duplication: Both Excedrin PM and Excedrin Migraine contain acetaminophen and sometimes other overlapping ingredients such as caffeine or diphenhydramine. Taking them together increases the risk of exceeding safe acetaminophen limits, leading to hepatotoxicity, and may result in excessive sedation from diphenhydramine.
B. The patient should not take both of these together, they cancel each other out: There is no evidence that these medications negate each other’s effects. Both are intended for pain relief, and taking them together does not reduce their efficacy, it increases risk of toxicity.
C. The patient can take both of these together, but there is a theoretical drug interaction: While drug interactions are a consideration, the primary issue here is overlapping active ingredients, which constitutes direct therapeutic duplication rather than a theoretical interaction.
D. The patient can take both of these together if she doubles the dose of Excedrin PM: Doubling the dose would dangerously increase acetaminophen and diphenhydramine intake, raising the risk of liver injury, sedation, and other adverse effects. This is unsafe and not recommended.
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