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
The child's age.
Choice A rationale:
Age is an essential factor to consider when assessing a child's pain level.
Children of different age groups may perceive and express pain differently.
Infants, for example, may not be able to verbalize their pain, while older children can communicate more effectively.
Understanding the child's age allows healthcare providers to adapt their pain assessment techniques accordingly.
Choice B rationale:
The child's developmental level is an important factor to consider when assessing pain.
Developmental factors can impact a child's ability to communicate their pain and their understanding of pain management.
However, the question asks for a factor that would NOT be considered, and developmental level is typically considered when assessing a child's pain.
Choice C rationale:
The child's cultural background is a crucial consideration in pain assessment.
Cultural beliefs and practices can influence how pain is perceived and expressed.
It's important to be culturally sensitive and take into account the child's cultural background when assessing pain.
However, this choice is about factors that would NOT be considered, so cultural background is indeed considered in pain assessment.
Choice D rationale:
The child's reported pain level is a critical factor to consider when assessing pain.
It is a direct and reliable source of information about the child's pain experience.
Dismissing the child's self-reported pain level would be inappropriate and contrary to best practices in pain assessment.
Correct Answer is B
Explanation
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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