A 19-year-old client has suffered an ankle sprain while training for a half marathon. In addition to elevation and icing the ankle, the healthcare provider prescribed ibuprofen 200 mg po every 4 hours prn. The client tells the nurse that the client usually uses acetaminophen for a headache and questions why the healthcare provider recommended ibuprofen. What is the nurse's best response?

"The ibuprofen works faster."

"Ibuprofen works better than acetaminophen with muscle and bone injuries."

"The healthcare provider can prescribe a high dose of the ibuprofen so it will relieve the pain better."

"The ibuprofen will also reduce the inflammation that is causing swelling, which contributes to pain."

Answer and Explanation

The Correct Answer is D

A. "The ibuprofen works faster.": Onset of action for both oral acetaminophen and ibuprofen is approximately 30 to 60 minutes. There is no significant clinical evidence to suggest that ibuprofen provides faster systemic relief for an acute injury. Speed of onset is not the primary rationale for this specific drug selection.

B. "Ibuprofen works better than acetaminophen with muscle and bone injuries.": This statement is generalized and does not explain the underlying pharmacological mechanism to the client. While true in a practical sense, it lacks the scientific depth required for professional patient education. It does not address the specific pathology of a sprain.

C. "The healthcare provider can prescribe a high dose of the ibuprofen so it will relieve the pain better.": High doses can also be prescribed for acetaminophen, but dosage size does not change the drug's therapeutic class. The efficacy of ibuprofen in this scenario is due to its mechanism of action, not simply the amount administered. This response misleads the client.

D. "The ibuprofen will also reduce the inflammation that is causing swelling, which contributes to pain.": An ankle sprain involves soft tissue trauma that triggers the arachidonic acid cascade and prostaglandin production. Ibuprofen is a non-steroidal anti-inflammatory drug that inhibits cyclooxygenase enzymes to reduce localized edema. Acetaminophen lacks these significant peripheral anti-inflammatory properties needed for this injury.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Position the client with legs above the heart: Elevation is contraindicated in patients with arterial insufficiency as it further compromises blood flow to the distal extremities. Gravity opposes the limited arterial pressure, worsening tissue ischemia and increasing "rest pain." This positioning would likely enlarge the necrotic area on the toe.

B. Have client sleep with legs in a dependent position: Dangling the legs or placing them in a dependent position utilizes gravity to assist the flow of oxygenated blood to the feet. This physiological maneuver relieves ischemic nocturnal cramping and improves distal perfusion. It is a primary non-pharmacological intervention for symptomatic peripheral artery disease.

C. Encourage more frequent rest periods during the day: While rest is helpful for intermittent claudication, it does not address the acute ischemic pain occurring at night. The client’s current issue is rest pain, which signifies advanced arterial disease. Simply resting more during the day will not improve the nocturnal perfusion deficit described.

D. Administer a prescribed sleeping pill earlier in the evening: A sedative-hypnotic addresses the symptom of insomnia but ignores the underlying pathological cause of the sleep disruption. Masking the pain with medication without improving limb perfusion could allow the arterial ulcer to progress to gangrene. Clinical priority must focus on improving oxygenation.

Correct Answer is ["3"]

Explanation

Dose prescribed /Dose available=Number of capsules

900mg300mg=3

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with arterial insufficiency presents with a small, necrotic open area on the outer aspect of the right great toe. There is no drainage present and the client states that leg cramps at night have caused disrupted sleep. What is the priority nursing action?

Correct Answer is B

Explanation

Correct Answer is ["3"]

Explanation

A hospice client has been prescribed an opioid for the past 6 months for pain control. The nurse contacts the healthcare provider because the dosage of the opioid no longer provides pain relief. What is the reason for this nontherapeutic response to the opioid?

The nurse is caring for a client with a venous ulcer. Which dressing would be most appropriate for the nurse to select?

A client tells the nurse that the healthcare provider switched the pain medication used for arthritis from ibuprofen to celecoxib and questions the reason for this change. Which is the most likely reason for change in medication?

The nurse notes intact eschar without site drainage on a client's top and outer aspect of the left great toe. The client has diabetes mellitus. What does the nurse anticipate will be the goal of treatment?

An adult client is discussing experiencing occasional episodes of insomnia. In assessing the client's approach to sleep, which client statement should the nurse discuss further with the client?

The nurse is preparing a staff presentation about physiological responses of client immobility. Which physiological alterations should the nurse include in the presentation? (Select All That Apply)

Prior to the administration of morphine for a first day postoperative client who is experiencing severe pain, what action should the nurse perform first?