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 C
Explanation
Choice A rationale:
Opioids do not inhibit the synthesis of prostaglandins.
Prostaglandins are chemicals that play a role in the perception of pain and inflammation, but opioids work through a different mechanism.
They bind to opioid receptors in the body.
Choice B rationale:
Opioids do not block the release of histamine.
Histamine is involved in allergic reactions and inflammation, but it is not the primary target of opioids.
Opioids primarily bind to opioid receptors.
Choice D rationale:
Opioids do not stimulate the central nervous system to reduce pain and inflammation.
In fact, opioids often have a depressant effect on the central nervous system, leading to sedation and respiratory depression.
Their main action is through binding to opioid receptors.
The correct answer is choice C because opioids work by binding to opioid receptors, which alters the perception of pain.
Opioid receptors are found in the central and peripheral nervous systems, and when opioids bind to these receptors, they modulate pain perception, leading to pain relief.
This mechanism is how opioids exert their analgesic effects.
Correct Answer is D
Explanation
Choice A rationale:
Increased appetite.
This is an inaccurate statement regarding the side effects of Morphine.
Morphine is more likely to cause nausea and a loss of appetite rather than increased appetite.
Choice B rationale:
Drowsiness or sedation.
This is a common side effect of Morphine.
Opioid medications, including Morphine, can cause drowsiness or sedation, especially in pediatric patients.
It's important to inform the parent about the potential for sedation when administering Morphine.
Choice C rationale:
Increased heart rate.
This is not a typical side effect of Morphine.
Morphine is more likely to cause respiratory depression, which can lead to a decreased heart rate.
Choice D rationale:
Decreased respiratory rate.
This is the correct answer.
Morphine is known to depress the respiratory system, potentially leading to a decreased respiratory rate.
It is a crucial side effect to monitor, especially in pediatric patients, as it can be life-threatening.
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