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A client with Multiple Sclerosis reports a constant, burning, tingling pain in the
shoulders. The nurse anticipates that the physician will order which medication
for this type of pain?
1. alprazolam (Xanax)
2. Corticosteroid injection
3. gabapentin (Neurontin)
4. hydrocodone/acetaminophen (Norco)
Answer: 1. alprazolam (Xanax)
Incorrect - alprazolam is used to reduce anxiety
,2. Corticosteroid injection
Incorrect - Corticosteroid injections are used to reduce inflammation in a
localized area, often due to joint breakdown. In MS patients it is used to treat
acute exacerbations ("flare-ups"), but the symptoms described do not
constitute an acute exacerbation.
3. gabapentin (Neurontin)
Correct - Anticonvulsants like gabapentin are often the first line of treatment
for nerve pain
4. hydrocodone/acetaminophen (Norco)
Incorrect - Opioids would not be the appropriate medication to treat nerve pain.
A nurse is providing discharge teaching for a patient with severe
Gastroesophogeal Reflux Disease. Which of these statements by the patient
indicates a need for more teaching?
1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
,2. "I'm going to make sure to remain upright after meals and elevate my head
when I sleep"
3. "I won't be drinking tea or coffee or eating chocolate any more."
4. "I'm going to start trying to lose some weight."
Answer: 1. "I'm going to limit my meals to 2-3 per day to reduce acid
secretion."
CORRECT - Large meals increase the volume and pressure in the stomach and
delay gastric emptying. It's recommended instead to eat 4-6 small meals a day.
2. "I'm going to make sure to remain upright after meals and elevate my head
when I sleep"
Incorrect - This is a correct verbalization of health promotion for GERD.
3. "I won't be drinking tea or coffee or eating chocolate any more."
Incorrect - This is a correct verbalization of health promotion for GERD.
, 4. "I'm going to start trying to lose some weight."
Incorrect - This is a correct verbalization of health promotion for GERD.
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Answer:
The nurse in the Emergency Room is treating a patient suspected to have a
Peptic Ulcer. On assessing lab results, the nurse finds that the patient's blood
pressure is 95/60, pulse is 110 beats per minute, and the patient reports
epigastric pain. What is the PRIORITY intervention?
1. Start a large-bore IV in the patient's arm
2. Ask the patient for a stool sample
3. Prepare to insert an NG Tube
4. Administer intramuscular morphine sulphate as ordered
Answer: 1. Start a large-bore IV in the patient's arm