The nurse anticipates that a patient experiencing neuropathic pain caused by lumbar disc herniation may be treated with:
A) Nonsteroidal anti-inflammatory drugs, which are specific for neuropathic pain
B) Opioids for moderate pain
C) Tramadol (Ultram) for mild pain
D) Gabapentin (Neurontin), which is specific for neuropathic pain
D) Gabapentin (Neurontin), which is specific for neuropathic pain
Explanation: A) Treatment of a herniated disc begins with NSAIDs to reduce pain and swelling. NSAIDS are not specific for neuropathic pain.
B) If the patient is experiencing neurologic problems such as numbness or sciatica, additional medications may include opioids for severe pain. Opioids are not specific for neuropathic pain.
C) Tramadol (Ultram), which is a centrally acting opiate receptor agonist, may be used to treat moderate to severe pain.
D) Medications used to treat neuropathic pain, such as gabapentin (Neurontin), pregabalin (Lyrica), and duloxetine (Cymbalta), may also be useful for reducing pain related to nerve damage and have milder side effects than those of opioids.
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Which of the following is an inappropriate intervention for communicating with terminally ill clients?
communicating with terminally ill clients? a. Allowing the client to lead discussions about the future b. Offering automatic responses and trite reassurances c. Respecting the individual's pattern of communication d. Maintaining a sense of calm
The nurse has admitted a patient to the unit who has been experiencing bowel problems. The patient is to receive a bowel preparation for a radiologic procedure
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