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The nurse is caring for a patient with trigeminal neuralgia. Which medication to treat the patient's pain would the nurse question?

A.

gabapentin

B.

carbamazepine

C.

baclofen

D.

oxycodone

Answer and Explanation

The Correct Answer is D

A. Gabapentin is an anticonvulsant commonly used to treat neuropathic pain, including trigeminal neuralgia. It works by stabilizing nerve activity and is appropriate for this condition.  

 

B. Carbamazepine is considered the first-line treatment for trigeminal neuralgia as it decreases nerve impulses, which helps reduce pain. It is a commonly prescribed medication for this condition.  

 

C. Baclofen is a muscle relaxant and can be used in combination with anticonvulsants to treat trigeminal neuralgia by reducing muscle spasms associated with nerve irritation.  

 

D. Oxycodone is an opioid analgesic that treats general pain but is not typically effective for the specific type of neuropathic pain experienced in trigeminal neuralgia. Opioids do not address the underlying nerve activity and are not recommended for long-term management of this condition.


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View Related questions

Correct Answer is C

Explanation

A. Limiting visits by family members and friends is not necessary for managing ascites and could hinder the client's emotional support.

B. While amylase and lipase are important in assessing pancreatic function, they are not directly relevant to ascites management or liver cancer.

C. An abdominal assessment including abdominal girth is crucial for monitoring ascites, as changes in girth can indicate fluid accumulation or changes in the client's condition.

D. Continuous cardiac monitoring is not typically indicated for clients with liver cancer experiencing ascites unless there are specific cardiac concerns.

Correct Answer is B

Explanation

A. A soft, low sofa can make it difficult for the client to rise and sit safely after surgery, which may risk hip dislocation.

B. A dining room chair with armrests provides support for the client to help them sit down and stand up safely, making this the most appropriate choice.

C. A canvas lawn chair typically does not provide adequate support or height, which can complicate the sitting and standing process post-surgery.

D. A desk type, swivel chair may not be stable or supportive enough for the client, increasing the risk of falls or injury after the hip replacement.

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