The nurse is accepting care of an adult patient who has been experiencing severe and intractable pain
When reviewing the patient's medication administration record, the nurse notes the presence of gabapentin (Neurontin). The nurse is justified in suspecting what phenomenon in the etiology of the patient's pain?
A) Neuroplasticity
B) Misperception
C) Psychosomatic processes
D) Neuropathy
Ans: D
Feedback:
The anticonvulsants gabapentin (Neurontin) and pregabalin (Lyrica) are first-line analgesic agents for neuropathic pain. Neuroplasticity is the ability of the peripheral and central nervous systems to change both structure and function as a result of noxious stimuli; this does not likely contribute to the patient's pain. Similarly, psychosomatic factors and misperception of pain are highly unlikely.
You might also like to view...
The middle ear is normally filled with:
a. air. b. blood. c. serous fluid. d. cerebrospinal fluid.
The nurse working with school-aged children realizes that children of this age have many body image concerns. Which of the following fears would most likely be a fear of hospitalized school-age children undergoing surgery?
a. The medication will not be strong enough to take away pain. b. The nurse will spend too much time with them. c. Their insides will leak out after injections or surgery. d. Their classmates will get to have more fun and play more.
Select the primary indication for the use of minoxidil (Loniten).
A. Minoxidil is indicated for patients who do not respond to therapy with calcium antagonists. B. Minoxidil is indicated for patients who do not respond to therapy with beta-blockers. C. Minoxidil is indicated for patients who do not respond to triple therapy with other drug combinations. D. None of these are correct.
Which of the following statements is true about cephalosporins and penicillins?
A. The cephalosporins are used as substitutes for penicillins in the treatment of certain gram-positive infections. B. The mechanism of action of the cephalosporins is the same as that of the penicillins. C. The cephalosporins are usually less resistant than the penicillins to the bacterial beta-lactamase enzymes. D. The chemical structure of the cephalosporins is completely different from that of the penicillins.