Juanita presents to clinic with a complaint of headaches off and on for
months. She reports she feels like someone is "squeezing" her head. She
occasionally takes Tylenol for the pain but usually just "toughs it out."
Initial treatment for tension headache includes asking her to keep a
headache diary and a prescription for ________.
A. sumatriptan (Imitrex)
B. naproxen (Aleve)
C. ergotamine (Ergostat)
D. Tylenol with codeine (Tylenol #3) - ANS ✓B. naproxen (Aleve)
Sallie has been taking 10 mg of prednisone per day for the past six months.
She should be assessed for ________.
A. gout
B. iron deficiency anemia
C. osteoporosis
D. renal dysfunction - ANS ✓C. osteoporosis
Age is a factor in different responses to pain. Which of the following age-
related statements about pain is not true?
A. Preterm and newborn infants do not yet have functional pain pathways.
B. Painful experiences and prolonged exposure to analgesic drugs during
pregnancy may permanently alter neuronal organization in the child.
NSG 6005
, 2
NSG
C. Increases in pain threshold in older adults may be related to peripheral
neuropathies and changes in skin thickness.
D. Decreases in pain tolerance are evident in older adults. - ANS ✓A. Preterm
and newborn infants do not yet have functional pain pathways.
Kelly is a fourteen-year-old who presents to clinic with a classic migraine.
She says she is having a headache two to three times a month. The initial
plan would be which of the following?
A. Prescribe NSAIDs as abortive therapy and have her keep a headache
diary to identify her triggers.
B. Prescribe zolmitriptan (Zomig) as abortive therapy and recommend
relaxation therapy to reduce her stress.
C. Prescribe acetaminophen with codeine (Tylenol #3) for her to take at the
first onset of her migraine.
D. Prescribe sumatriptan (Imitrex) nasal spray and arrange for her to
receive the first dose in the clinic. - ANS ✓A. Prescribe NSAIDs as abortive
therapy and have her keep a headache diary to identify her triggers.
Jamie has fractured his ankle and has received a prescription for
acetaminophen and hydrocodone (Vicodin). Education when prescribing
Vicodin includes which one of the following instructions?
A. It is OK to double the dose of Vicodin if the pain is severe.
B. Vicodin is not habit forming.
C. He should not take any other acetaminophen-containing medications.
D. Vicodin may cause diarrhea; therefore, he should increase his fluid
intake. - ANS ✓C. He should not take any other acetaminophen-containing
medications.
Which of the following is the goal of treatment of acute pain?
NSG 6005
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller DoctorKen. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
