A client has a swollen, painful knee after a fall. The nurse decides to use cold therapy as part of the client’s care plan.
Which of the following outcomes should the nurse anticipate?

Increased blood flow to the area

Relaxation of muscles around the knee

Reduction in inflammation and numbing of the area

Increased perception of pain.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Increased blood flow to the area Cold therapy, such as ice packs, is commonly used to reduce swelling and inflammation.

When cold is applied to an area, it causes vasoconstriction, which means that blood vessels in the area constrict or narrow.

This leads to a reduction in blood flow to the affected area, which, in turn, reduces inflammation and swelling.

Therefore, the rationale for Choice A is incorrect, as cold therapy does not increase blood flow to the area.

Choice B rationale:

Relaxation of muscles around the knee Cold therapy can have a temporary muscle relaxing effect due to its numbing properties, but this is not the primary purpose of using cold therapy.

The main goal of cold therapy in this context is to reduce inflammation and alleviate pain.

Choice B is not the correct answer.

Choice C rationale:

Reduction in inflammation and numbing of the area The primary purpose of using cold therapy in this case is to reduce inflammation and numb the area, which helps alleviate pain and discomfort.

Cold therapy causes vasoconstriction, which decreases blood flow to the area and reduces inflammation.

Additionally, the numbing effect can provide pain relief.

This is the correct choice because it aligns with the intended outcome of using cold therapy.

Choice D rationale:

Increased perception of pain Using cold therapy would not lead to an increased perception of pain in this scenario.

In fact, it is typically used to reduce pain and discomfort by numbing the area and decreasing inflammation.

Choice D is not the correct answer.

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Correct Answer is A

Explanation

Choice A rationale:

One of the contraindications for nonsteroidal anti-inflammatory drugs (NSAIDs) is a known hypersensitivity to NSAIDs.

Individuals who have experienced allergic reactions, such as hives, difficulty breathing, or swelling, when taking NSAIDs should avoid using these medications.

This hypersensitivity can be a serious allergic reaction.

Choice B rationale:

This option is not correct.

While individuals with a history of asthma should be cautious when taking NSAIDs, it is not an absolute contraindication.

Some individuals with asthma can safely use NSAIDs, but they should be closely monitored, as NSAIDs can exacerbate asthma symptoms in some cases.

Choice C rationale:

This option is not correct.

A history of high blood pressure is not a contraindication for NSAIDs.

However, it is essential for individuals with high blood pressure to use NSAIDs cautiously and under the guidance of a healthcare provider, as NSAIDs can potentially raise blood pressure.

Choice D rationale:

This option is not correct.

A history of diabetes is not a contraindication for NSAIDs.

However, individuals with diabetes should be aware that NSAIDs can affect blood sugar levels and should monitor their blood glucose closely while taking these medications.

A. Acetaminophen is indicated for mild to moderate pain and fever. B. NSAIDs are contraindicated in patients with known hypersensitivity to NSAIDs, active bleeding, and renal impairment. C. Opioids work by increasing blood flow to the affected area. D. The dosage of Acetaminophen and NSAIDs is based on age. E. Opioids work by binding to opioid receptors, altering perception and response to painful stimuli.

Correct Answer is ["A","B","E"]

Explanation

Choice A rationale:

Acetaminophen is indicated for mild to moderate pain and fever.

Acetaminophen is an analgesic and antipyretic medication commonly used to relieve mild to moderate pain and reduce fever.

It is suitable for various pediatric conditions, making it a valid choice for pain management in children.

Choice B rationale:

NSAIDs are contraindicated in patients with known hypersensitivity to NSAIDs, active bleeding, and renal impairment.

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) can cause adverse effects, including gastrointestinal bleeding, and should be avoided in patients with active bleeding.

Additionally, patients with known hypersensitivity to NSAIDs or renal impairment are at an increased risk of experiencing side effects when taking these medications, making choice B accurate.

Choice C rationale:

Opioids work by increasing blood flow to the affected area.

This statement is incorrect.

Opioids work by binding to opioid receptors, altering the perception and response to painful stimuli.

They do not increase blood flow to the affected area.

Opioids are central nervous system depressants that act on the brain and spinal cord to modify the perception of pain.

Choice D rationale:

The dosage of Acetaminophen and NSAIDs is based on age.

This statement is partially accurate.

While age can be a factor in determining the appropriate dosage of these medications in pediatric patients, it is not the sole determinant.

Weight and specific patient characteristics may also play a role in dosing decisions.

Choice E rationale:

Opioids work by binding to opioid receptors, altering perception and response to painful stimuli.

This statement is accurate.

Opioids are a class of medications that act on specific receptors in the central nervous system, altering the perception of pain and the body's response to painful stimuli.

They do not increase blood flow to the affected area but instead modulate pain at the neurological level.

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A client has a swollen, painful knee after a fall. The nurse decides to use cold therapy as part of the client’s care plan. Which of the following outcomes should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the contraindications for nonsteroidal anti-inflammatory drugs (NSAIDs) with a client.Which statement accurately describes a contraindication for NSAIDs?

Correct Answer is A

Explanation

A nurse is educating a group of nursing students about pharmacological interventions for pain management in pediatric patients.Which of the following statements are true? (Select all that apply)

Correct Answer is ["A","B","E"]

Explanation

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A client who has been prescribed Ibuprofen for mild to moderate pain asks the nurse about the mechanism of action of the drug.Which of the following responses by the nurse would be most accurate?

A nurse is teaching a group of parents about distraction techniques for their children undergoing medical procedures.Which statement by a parent demonstrates a correct understanding of distraction techniques?

A client has a swollen, painful knee after a fall. The nurse decides to use cold therapy as part of the client’s care plan. Which of the following outcomes should the nurse anticipate?

A nurse is preparing to administer Acetaminophen to a pediatric patient for pain management. The child’s mother expresses concern about the medication, asking the nurse how it works. Which of the following responses by the nurse would be most appropriate?

A nurse is educating a group of parents about the different pharmacological interventions for pain relief in children.Which medication is classified as a nonsteroidal anti-inflammatory drug (NSAID)?

A client has a swollen, painful knee after a fall. The nurse decides to use cold therapy as part of the client’s care plan.
Which of the following outcomes should the nurse anticipate?