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A client who has been prescribed Fentanyl for severe pain asks the nurse about how this medication differs from over-the-counter pain relievers like Acetaminophen or Ibuprofen.
Which of the following responses by the nurse would be most accurate?

Fentanyl is a nonsteroidal anti-inflammatory drug (NSAID) that reduces inflammation and pain.

Fentanyl is an opioid medication that binds to opioid receptors, altering perception and response to painful stimuli.

Fentanyl is similar to Acetaminophen and Ibuprofen but is typically used for more severe pain.

Fentanyl works by inhibiting prostaglandin synthesis, similar to Acetaminophen and Ibuprofen.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Fentanyl is a nonsteroidal anti-inflammatory drug (NSAID) that reduces inflammation and pain.

This statement is incorrect.

Fentanyl is not an NSAID.

It is an opioid medication that binds to opioid receptors, altering the perception and response to painful stimuli.

It is used for severe pain management and is unrelated to NSAIDs.

Choice B rationale:

Fentanyl is an opioid medication that binds to opioid receptors, altering perception and response to painful stimuli.

This is the accurate response.

Fentanyl is a potent opioid that works by binding to opioid receptors in the central nervous system, altering the perception of pain and the body's response to painful stimuli.

It is a powerful analgesic for severe pain.

Choice C rationale:

Fentanyl is similar to Acetaminophen and Ibuprofen but is typically used for more severe pain.

This statement is misleading.

Fentanyl is not similar to Acetaminophen or Ibuprofen.

While all three medications have pain-relieving properties, Fentanyl is a much stronger opioid used for severe pain, while Acetaminophen and Ibuprofen are milder, non-opioid analgesics.

Choice D rationale:

Fentanyl works by inhibiting prostaglandin synthesis, similar to Acetaminophen and Ibuprofen.

This statement is inaccurate.

Fentanyl's mechanism of action is different from Acetaminophen and Ibuprofen.

While Acetaminophen and Ibuprofen inhibit prostaglandin synthesis, Fentanyl acts by binding to opioid receptors and modulating pain perception centrally, without affecting prostaglandins.

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Correct Answer is B

Explanation

Choice A rationale:

This statement is incorrect.

Ibuprofen does not work by increasing blood flow to the affected area.

Its primary mechanism of action is the inhibition of prostaglandin synthesis, which helps reduce pain, inflammation, and fever.

Choice C rationale:

This statement is also inaccurate.

Ibuprofen does not work by blocking the action of a specific enzyme in the body.

Its primary mode of action is related to prostaglandin inhibition.

Choice D rationale:

This statement is not accurate.

Ibuprofen's primary mechanism of action is not reducing the production of substances that cause inflammation and pain.

It primarily targets prostaglandins.

A. Increased blood flow to the area B. Relaxation of muscles around the knee C. Reduction in inflammation and numbing of the area D. Increased perception of pain. E. Increased perception of pain.

Correct Answer is C

Explanation

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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A client who has been prescribed Fentanyl for severe pain asks the nurse about how this medication differs from over-the-counter pain relievers like Acetaminophen or Ibuprofen.Which of the following responses by the nurse would be most accurate?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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?

Correct Answer is C

Explanation

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A client who has been prescribed Fentanyl for severe pain asks the nurse about how this medication differs from over-the-counter pain relievers like Acetaminophen or Ibuprofen.
Which of the following responses by the nurse would be most accurate?