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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.

Answer and Explanation

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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Correct Answer is A

Explanation

I am willing to try guided imagery exercises.”..

Choice A rationale:

It is essential for the client to express willingness to try non-pharmacological interventions like guided imagery.

This shows the client's open-mindedness and readiness to explore alternative methods for pain relief.

Guided imagery can be effective in managing chronic pain by focusing the mind on positive mental images, helping to reduce pain perception and promote relaxation.

Choice B rationale:

Expressing disbelief in alternative methods may hinder the client's ability to benefit from non-pharmacological pain relief interventions.

A negative attitude towards these methods can create resistance and limit their effectiveness.

Choice C rationale:

Requesting pain medication instead of trying non-pharmacological interventions immediately may not be the most appropriate response, as it bypasses the opportunity to explore alternative pain management strategies.

Pain medications may have side effects and may not be the most suitable first-line treatment for chronic pain.

Choice D rationale:

Expressing a lack of time for non-pharmacological interventions dismisses the potential benefits of guided imagery or other methods.

It is essential for the client to be open to trying various strategies to effectively manage their chronic pain.

A. Massage therapy. B. Acetaminophen (Tylenol) C. Fentanyl. D. Morphine.

Correct Answer is A

Explanation

Choice A rationale:

Massage therapy is a non-pharmacological intervention that can provide pain relief.

It involves the manual manipulation of the body's soft tissues and muscles to reduce tension and discomfort.

Massage therapy can help increase blood circulation, relax muscles, and release endorphins, which are natural pain relievers.

For pediatric patients who are averse to taking more medication, massage therapy can be a soothing and effective approach to alleviate mild to moderate pain without the use of drugs.

It is a safe and gentle method that can be tailored to the child's comfort level.

Choice B rationale:

Acetaminophen (Tylenol) is a medication, and the client has expressed a desire to avoid taking more medication.

Therefore, this choice is not appropriate in this context.

Choice C rationale:

Fentanyl and

Choice D rationale:

Morphine are strong opioid medications used for severe pain relief.

These options are not suitable for mild to moderate pain in a pediatric patient, especially when the client wishes to avoid additional medication.

They also come with the risk of side effects and potential dependence, making them unsuitable in this scenario.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is experiencing chronic pain and has expressed interest in non-pharmacological interventions.The nurse suggests guided imagery as a potential method for pain relief.Which of the following statements would be most appropriate for the client to say?

Correct Answer is A

Explanation

A client in the pediatric unit is experiencing mild to moderate pain and asks the nurse for pain relief.The client states, ".”..Which non-pharmacological intervention should the nurse recommend to provide pain relief without medication administration?

Correct Answer is A

Explanation

A client is scheduled to receive ibuprofen for pain management.Which of the following statements by the client would indicate that the nurse needs to provide further education?

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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?

A client in a pain management clinic is discussing non-pharmacological interventions with the nurse.Which statement by the client demonstrates understanding of guided imagery?

A client who has been prescribed Ibuprofen for mild to moderate pain asks the nurse about the mechanism of action of the drug.Which of the following responses by the nurse would be most accurate?

A nurse is assessing a pediatric patient's eligibility for opioid pain management.The nurse is aware that opioids are indicated for:

A client undergoing physical therapy is discussing pain management strategies with the nurse.Which statement by the client indicates a correct understanding of heat and cold therapy?

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)