A client with Multiple Sclerosis reports a constant, burning, tingling pain in the shoulders. The nurse anticipates that the physician will order which medicati

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)

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.

Correct Answer:  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.