Which drug of choice should the nurse anticipate administering to a patient with severe new onset pain due to trigeminal neuralgia?
A) Gabapentin
B) Carbamazepine
C) Baclofen
D) Phenytoin
A) Carbamazepine, the drug of choice, blocks sodium channels, inhibits spontaneous generation of ectopic nerve impulses, and reduces the transmissions of ephaptic impulses. Other anticonvulsants may be used if the side effects of carbamazepine cannot be tolerated; these include oxcarbazepine, topiramate, gabapentin, pregabalin, clonazepam, phenytoin, lamotrigine, and valproic acid.
B) Carbamazepine, the drug of choice, blocks sodium channels, inhibits spontaneous generation of ectopic nerve impulses, and reduces the transmissions of ephaptic impulses.
C) Carbamazepine, the drug of choice, blocks sodium channels, inhibits spontaneous generation of ectopic nerve impulses, and reduces the transmissions of ephaptic impulses. Baclofen, a GABA agonist that blocks the excitation of second-order neurons, may also be effective.
D) Carbamazepine, the drug of choice, blocks sodium channels, inhibits spontaneous generation of ectopic nerve impulses, and reduces the transmissions of ephaptic impulses. Other anticonvulsants may be used if the side effects of carbamazepine cannot be tolerated; these include oxcarbazepine, topiramate, gabapentin, pregabalin, clonazepam, phenytoin, lamotrigine, and valproic acid.
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A 77-year-old woman is concerned because she has occasionally found her husband sleepwalking in the last several weeks. What is her care provider's most appropriate response to her concerns?
A) "This is not an uncommon event that often accompanies older age." B) "I'll likely prescribe a benzodiazepine for this when I next see your husband." C) "This is understandably upsetting for you, but as long as the environment is safe, it's likely not significant." D) "There may be something else going on with your husband such as delirium or a problem with his medications."
What is the intended response to an erythropoiesis-stimulating agent (ESA)?
a. Increased red blood cell counts b. Decreased red blood cell counts c. Increased platelet counts d. Decreased platelet counts
The client receives latanoprost (Xalatan) and another eyedrop. The nurse has completed medication education and evaluates that learning has occurred when the client makes which statement?
1. "I will give two drops of one medication, wait one minute, and then give two drops of the other medication." 2. "I should lay the dropper against my eyelid for stability when putting in drops." 3. "I will remove my contact lens before instilling these eyedrops." 4. "I may notice that my eyelashes get thinner while I am using this medication."
The nurse is caring for a client who has been diagnosed with a form of tuberculosis that is resistant to isoniazid therapy. What drug does the nurse anticipate the client will be prescribed for first-line therapy?
1. Ethambutol (Myambutol) 2. Pyrazinamide (PZA) 3. Rifampin (Rifadin, Rimactane) 4. Pyridoxine