A nurse is educating a group of nursing students about pharmacological interventions for pain management in pediatric patients.
Which of the following statements are true? (Select all that apply)
Acetaminophen is indicated for mild to moderate pain and fever.
NSAIDs are contraindicated in patients with known hypersensitivity to NSAIDs, active bleeding, and renal impairment.
Opioids work by increasing blood flow to the affected area.
The dosage of Acetaminophen and NSAIDs is based on age.
Opioids work by binding to opioid receptors, altering perception and response to painful stimuli.
Correct Answer : A,B,E
Choice A rationale:
Acetaminophen is indicated for mild to moderate pain and fever.
Acetaminophen is an analgesic and antipyretic medication commonly used to relieve mild to moderate pain and reduce fever.
It is suitable for various pediatric conditions, making it a valid choice for pain management in children.
Choice B rationale:
NSAIDs are contraindicated in patients with known hypersensitivity to NSAIDs, active bleeding, and renal impairment.
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) can cause adverse effects, including gastrointestinal bleeding, and should be avoided in patients with active bleeding.
Additionally, patients with known hypersensitivity to NSAIDs or renal impairment are at an increased risk of experiencing side effects when taking these medications, making choice B accurate.
Choice C rationale:
Opioids work by increasing blood flow to the affected area.
This statement is incorrect.
Opioids work by binding to opioid receptors, altering the perception and response to painful stimuli.
They do not increase blood flow to the affected area.
Opioids are central nervous system depressants that act on the brain and spinal cord to modify the perception of pain.
Choice D rationale:
The dosage of Acetaminophen and NSAIDs is based on age.
This statement is partially accurate.
While age can be a factor in determining the appropriate dosage of these medications in pediatric patients, it is not the sole determinant.
Weight and specific patient characteristics may also play a role in dosing decisions.
Choice E rationale:
Opioids work by binding to opioid receptors, altering perception and response to painful stimuli.
This statement is accurate.
Opioids are a class of medications that act on specific receptors in the central nervous system, altering the perception of pain and the body's response to painful stimuli.
They do not increase blood flow to the affected area but instead modulate pain at the neurological level.
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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
Choice A rationale:
Increased blood flow to the area Cold therapy, such as ice packs, is commonly used to reduce swelling and inflammation.
When cold is applied to an area, it causes vasoconstriction, which means that blood vessels in the area constrict or narrow.
This leads to a reduction in blood flow to the affected area, which, in turn, reduces inflammation and swelling.
Therefore, the rationale for Choice A is incorrect, as cold therapy does not increase blood flow to the area.
Choice B rationale:
Relaxation of muscles around the knee Cold therapy can have a temporary muscle relaxing effect due to its numbing properties, but this is not the primary purpose of using cold therapy.
The main goal of cold therapy in this context is to reduce inflammation and alleviate pain.
Choice B is not the correct answer.
Choice C rationale:
Reduction in inflammation and numbing of the area The primary purpose of using cold therapy in this case is to reduce inflammation and numb the area, which helps alleviate pain and discomfort.
Cold therapy causes vasoconstriction, which decreases blood flow to the area and reduces inflammation.
Additionally, the numbing effect can provide pain relief.
This is the correct choice because it aligns with the intended outcome of using cold therapy.
Choice D rationale:
Increased perception of pain Using cold therapy would not lead to an increased perception of pain in this scenario.
In fact, it is typically used to reduce pain and discomfort by numbing the area and decreasing inflammation.
Choice D is not the correct answer.
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