A nurse is discussing pain management options with the parents of a pediatric patient.
The nurse explains, ".”..
Which pharmacological intervention inhibits prostaglandin synthesis, reducing pain and fever in children with mild to moderate pain and fever?
Acetaminophen (Tylenol)
Ibuprofen (Advil, Motrin)
Morphine.
Fentanyl.
The Correct Answer is B
Ibuprofen (Advil, Motrin)
Choice A rationale:
Acetaminophen (Tylenol) is an analgesic and antipyretic medication commonly used for reducing pain and fever in children.
However, it works by a different mechanism than inhibiting prostaglandin synthesis.
It's essential for pain management, but it doesn't specifically target prostaglandins.
Choice B rationale:
Ibuprofen (Advil, Motrin) is a non-steroidal anti-inflammatory drug (NSAID) that inhibits prostaglandin synthesis, reducing pain and fever.
It is effective for mild to moderate pain and fever in children.
This is the correct choice because it directly addresses the question about inhibiting prostaglandin synthesis.
Choice C rationale:
Morphine and choice D, Fentanyl, are opioids.
They are potent analgesics used for severe pain, particularly in situations like post-operative or cancer pain.
These medications are not typically used for mild to moderate pain and fever in children.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Acetaminophen, also known as Tylenol, works by inhibiting the synthesis of prostaglandins, which helps reduce pain and fever.
Prostaglandins are chemicals produced by the body in response to injury or illness and are known to promote inflammation, pain, and fever.
By inhibiting the synthesis of prostaglandins, acetaminophen reduces these symptoms.
Choice B rationale:
This option is not correct.
Acetaminophen does not work by blocking the release of histamine.
Histamine is a chemical that plays a role in allergic reactions and inflammation, but it is not the primary target of acetaminophen.
Choice C rationale:
This option is not correct.
Acetaminophen does not increase the production of endorphins.
Endorphins are natural painkillers produced by the body, but acetaminophen's mechanism of action is related to prostaglandin inhibition.
Choice D rationale:
This option is not correct.
Acetaminophen does not stimulate the central nervous system.
Its primary action is the inhibition of prostaglandin synthesis in peripheral tissues.
Correct Answer is A
Explanation
Choice A rationale:
The client's statement, "Warm compresses will help increase blood flow and relax my muscles," indicates a correct understanding of heat therapy.
Heat therapy can indeed increase blood flow to the area and help relax muscles.
When heat is applied to the body, it causes blood vessels to dilate, which increases the flow of oxygen and nutrients to the affected area, promoting muscle relaxation.
This can be particularly beneficial for managing muscle pain and stiffness.
Choice B rationale:
The statement, "Cold therapy numbs the area and promotes muscle contraction," is incorrect.
Cold therapy, such as the application of ice packs, is used to reduce inflammation, numb the area, and decrease muscle contraction.
It is not intended to promote muscle contraction; rather, it temporarily reduces muscle activity, making it helpful for acute injuries or pain.
Choice C rationale:
The statement, "Heat therapy reduces inflammation and cools down the painful area," is incorrect.
Heat therapy does not cool down the painful area; it increases the temperature in the area where it's applied.
It is used to alleviate pain and muscle tension, not to reduce inflammation.
Cold therapy is typically used for reducing inflammation.
Choice D rationale:
The statement, "Applying ice packs will immediately relieve acute pain," is partially correct.
Ice packs can help relieve acute pain by numbing the area and reducing inflammation.
However, it may not provide immediate relief, and the effectiveness can vary depending on the type and cause of the pain.
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