A nurse is reviewing the contraindications for nonsteroidal anti-inflammatory drugs (NSAIDs) with a client.
Which statement accurately describes a contraindication for NSAIDs?

"If you have a known hypersensitivity to NSAIDs, you should avoid taking them.”..

"If you have a history of asthma, you should avoid taking NSAIDs.”..

"If you have a history of high blood pressure, you should avoid taking NSAIDs.”..

"If you have a history of diabetes, you should avoid taking NSAIDs.”..

Answer and Explanation

The Correct Answer is A

Choice A rationale:

One of the contraindications for nonsteroidal anti-inflammatory drugs (NSAIDs) is a known hypersensitivity to NSAIDs.

Individuals who have experienced allergic reactions, such as hives, difficulty breathing, or swelling, when taking NSAIDs should avoid using these medications.

This hypersensitivity can be a serious allergic reaction.

Choice B rationale:

This option is not correct.

While individuals with a history of asthma should be cautious when taking NSAIDs, it is not an absolute contraindication.

Some individuals with asthma can safely use NSAIDs, but they should be closely monitored, as NSAIDs can exacerbate asthma symptoms in some cases.

Choice C rationale:

This option is not correct.

A history of high blood pressure is not a contraindication for NSAIDs.

However, it is essential for individuals with high blood pressure to use NSAIDs cautiously and under the guidance of a healthcare provider, as NSAIDs can potentially raise blood pressure.

Choice D rationale:

This option is not correct.

A history of diabetes is not a contraindication for NSAIDs.

However, individuals with diabetes should be aware that NSAIDs can affect blood sugar levels and should monitor their blood glucose closely while taking these medications.

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Correct Answer is ["A","B","E"]

Explanation

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.

A. "We can engage our child in games to shift their attention away from the procedure.”.. B. "Applying cold compresses will help distract our child from feeling pain.”.. C. "Watching sad movies might help our child express their pain better.”.. D. "Ignoring the child's fear and pain will make them stronger in the long run.”..

Correct Answer is A

Explanation

Choice A rationale:

The statement, "We can engage our child in games to shift their attention away from the procedure," demonstrates a correct understanding of distraction techniques.

Distraction techniques are used to divert a child's attention from the medical procedure, helping them cope with anxiety and pain.

Engaging the child in games or other enjoyable activities is an effective distraction strategy that can reduce distress during medical procedures.

Choice B rationale:

The statement, "Applying cold compresses will help distract our child from feeling pain," is incorrect.

Cold compresses are not typically used as distraction techniques but rather as a pain management method.

Distraction techniques focus on diverting a child's attention through enjoyable activities rather than addressing the pain directly.

Choice C rationale:

The statement, "Watching sad movies might help our child express their pain better," is not an appropriate distraction technique.

Sad movies may evoke negative emotions, making the child's experience more distressing.

The goal of distraction techniques is to create a positive and enjoyable environment to reduce anxiety and pain.

Choice D rationale:

The statement, "Ignoring the child's fear and pain will make them stronger in the long run," is not an effective approach.

Ignoring a child's fear and pain can lead to increased distress and anxiety.

Distraction techniques aim to provide support and comfort during medical procedures, making the experience less traumatic for the child.

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A nurse is reviewing the contraindications for nonsteroidal anti-inflammatory drugs (NSAIDs) with a client.Which statement accurately describes a contraindication for NSAIDs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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)

Correct Answer is ["A","B","E"]

Explanation

A nurse is teaching a group of parents about distraction techniques for their children undergoing medical procedures.Which statement by a parent demonstrates a correct understanding of distraction techniques?

Correct Answer is A

Explanation

A nurse is educating a group of patients about non-pharmacological pain management techniques.Select all that apply:

A nurse is preparing to administer opioids to a pediatric patient for pain relief.Which statement accurately describes the mechanism of action of opioids?

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?

A nurse is caring for a pediatric patient experiencing pain.Which statement by the nurse best reflects the use of distraction techniques for pain management?

A nurse is providing education to the parents of a child who will be receiving acetaminophen (Tylenol) for pain relief.Which statement by the nurse accurately describes the mechanism of action of acetaminophen?

A client who has been prescribed Fentanyl for severe pain asks the nurse about how this medication differs from over-the-counter pain relievers like Acetaminophen or Ibuprofen.Which of the following responses by the nurse would be most accurate?

A nurse is preparing to administer Acetaminophen to a pediatric patient for pain management.The child’s mother expresses concern about the medication, asking the nurse how it works.Which of the following responses by the nurse would be most appropriate?

A nurse is caring for a child who is experiencing severe pain.The nurse decides to use distraction techniques to help manage the child’s pain.Which of the following statements would be most appropriate for the nurse to say to the child?

A nurse is reviewing the contraindications for nonsteroidal anti-inflammatory drugs (NSAIDs) with a client.
Which statement accurately describes a contraindication for NSAIDs?