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 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.

A. The child's age. B. The child's developmental level. C. The child's cultural background. D. The child's reported pain level.

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.

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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 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?

Correct Answer is B

Explanation

A nurse is assessing a child's pain level.Which of the following factors would NOT be considered?

Correct Answer is A

Explanation

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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?