A client's child is prescribed ibuprofen for mild to moderate pain and inflammation.
The client asks the nurse, ".”..
Which statement accurately describes the mechanism of action of ibuprofen in reducing pain, inflammation, and fever in pediatric patients?
Ibuprofen inhibits prostaglandin synthesis, reducing pain, inflammation, and fever.
Ibuprofen binds to opioid receptors, altering pain perception and providing analgesia.
Ibuprofen enhances neurotransmitter activity, increasing pain threshold.
Ibuprofen blocks calcium channels, reducing pain signals transmission.
The Correct Answer is A
Choice A rationale:
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the synthesis of prostaglandins.
Prostaglandins are chemicals in the body that promote inflammation, pain, and fever.
By blocking their production, ibuprofen reduces these symptoms.
Specifically, it inhibits the activity of the enzymes cyclooxygenase-1 (COX-1) and cyclooxygenase-2 (COX-2), which are involved in prostaglandin synthesis.
This mechanism of action makes ibuprofen effective in alleviating pain, reducing inflammation, and lowering fever in pediatric patients.
Choice B rationale:
This choice is incorrect.
Ibuprofen does not bind to opioid receptors or alter pain perception.
It has a different mechanism of action as an NSAID.
Choice C rationale:
Ibuprofen does not enhance neurotransmitter activity to increase the pain threshold.
Its primary action is on prostaglandin synthesis and inflammation, not neurotransmitters.
Choice D rationale:
Ibuprofen does not block calcium channels or reduce pain signal transmission in the manner described.
Its primary mechanism is the inhibition of prostaglandin synthesis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale:
Aromatherapy is a non-pharmacological intervention that can help provide pain relief.
Aromatherapy involves the use of essential oils, and certain scents can have a calming and pain-relieving effect.
Choice B rationale:
Distraction techniques, such as engaging in activities or conversations that divert the patient's attention from pain, can be effective in providing pain relief.
These techniques can help reduce the perception of pain.
Choice C rationale:
Heat therapy, such as the application of warm compresses or heating pads, is a non-pharmacological intervention that can provide pain relief.
Heat can help relax muscles, increase blood flow, and reduce pain, especially in cases of muscle or joint discomfort.
Choice D rationale:
Cold therapy is not typically used for pediatric patients experiencing pain.
While cold therapy can be effective for certain conditions, such as reducing inflammation and swelling, it may not be as well-tolerated by children.
Choice E rationale:
Massage therapy is another non-pharmacological intervention that can help relieve pain in pediatric patients.
Massage can promote relaxation, improve circulation, and reduce muscle tension, leading to pain relief.
These interventions offer a comprehensive approach to pain management in pediatric patients, taking into account individual preferences and the nature of the pain.
Correct Answer is A
Explanation
Choice A rationale:
Massage therapy is a non-pharmacological intervention that can provide pain relief.
It involves the manual manipulation of the body's soft tissues and muscles to reduce tension and discomfort.
Massage therapy can help increase blood circulation, relax muscles, and release endorphins, which are natural pain relievers.
For pediatric patients who are averse to taking more medication, massage therapy can be a soothing and effective approach to alleviate mild to moderate pain without the use of drugs.
It is a safe and gentle method that can be tailored to the child's comfort level.
Choice B rationale:
Acetaminophen (Tylenol) is a medication, and the client has expressed a desire to avoid taking more medication.
Therefore, this choice is not appropriate in this context.
Choice C rationale:
Fentanyl and
Choice D rationale:
Morphine are strong opioid medications used for severe pain relief.
These options are not suitable for mild to moderate pain in a pediatric patient, especially when the client wishes to avoid additional medication.
They also come with the risk of side effects and potential dependence, making them unsuitable in this scenario.
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