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
B) Carbamazepine
Explanation: 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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Apgar scores are taken at 1 minute after birth and again at
a. 3 minutes. c. 10 minutes. b. 5 minutes. d. 15 minutes.
Two days after a child is treated with permethrin [Nix] for head lice, a parent calls the clinic to report seeing nits and a few live lice on the child's scalp. The nurse will tell the parent to:
a. ask the provider about using benzyl alco-hol [Ulesfia]. b. cut the areas of the child's hair where nits are present. c. retreat the child's hair with permethrin [Nix]. d. use a fine-toothed comb to remove nits and live lice.
The nurse is careful to do each procedure in the same step-by-step manner because such consistency in care will:
1. make sure that no step is omitted. 2. guarantee complete safety. 3. build confidence in the nurse's competence. 4. save time.
As the field of nursing grows and develops, there are pioneers who stand out as leaders of change. The first pediatric nurse practitioner is one such visionary. Who is credited with being the first pediatric nurse practitioner?
A) Loretta Ford B) Mary Wakefield C) Martha Franklin D) Lavinia Dock