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
Explanation
Choice A rationale:
The nurse best reflects the use of distraction techniques for pain management by suggesting, "Let's play some music to shift your focus away from the pain.”..
Distraction techniques involve diverting the patient's attention away from the pain by engaging in activities that capture their interest and focus.
Playing music is a common distraction technique that can help in managing pain by redirecting the patient's thoughts and emotions toward a more pleasant and engaging experience, effectively reducing their pain perception.
Choice B rationale:
I will apply a warm compress to reduce the inflammation in the area" is not related to distraction techniques.
Warm compresses are used for localized pain relief, primarily by improving blood flow and relaxing muscles, and do not distract the patient from their pain.
Choice C rationale:
We can try deep breathing exercises to calm your nerves" is not a distraction technique either.
Deep breathing exercises are a relaxation technique that may help with pain management, but they do not specifically divert the patient's attention away from the pain.
Choice D rationale:
You should try to ignore the pain; it will eventually go away" is not an effective approach to pain management.
Ignoring pain may not be feasible or safe, and it doesn't provide an active distraction from the pain.
Correct Answer is C
Explanation
It is important to monitor your child's pain level closely and adjust their medication as needed.”..
Choice A rationale:
It is essential to give the recommended dose of medication, but it's not necessary to administer it when the child is not in pain.
Overmedicating can lead to adverse effects, and administering medication unnecessarily is not a recommended practice.
Choice B rationale:
Avoiding non-pharmacological interventions is not advisable.
Non-pharmacological interventions, such as distraction, relaxation techniques, and physical therapy, can be effective in managing pain and should be considered as part of a comprehensive pain management plan.
Choice C rationale:
Monitoring the child's pain level closely and adjusting medication as needed is crucial for effective pain management.
Pain is subjective, and it can change over time.
Adapting the treatment plan based on the child's pain level ensures that they receive the appropriate level of care.
Choice D rationale:
Giving medication only when the child is in severe pain is not a suitable approach to pain management.
Pain should be addressed at an appropriate level of intensity, which may vary from mild to severe.
Waiting until the pain is severe before administering medication can lead to unnecessary suffering.
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