A patient prescribed ibuprofen 24 hours ago for pericarditis asks the nurse why the pain has not improved. What statement by the nurse is most appropriate?

Option 1: "You should stop taking ibuprofen immediately."
Option 2: "Ibuprofen takes time to relieve pericarditis pain."
Option 3: "You must be using ibuprofen incorrectly."
Option 4: "You should switch to a different pain medication."

The most appropriate response is that ibuprofen takes time to relieve pericarditis pain, as it reduces inflammation and this process takes time. Abruptly stopping medication or switching without medical advice is not recommended. Incorrect use of the medication is also unlikely to be the reason for the lack of immediate relief.

Explanation:

The most appropriate response from the nurse is Option 2: 'Ibuprofen takes time to relieve pericarditis pain.' This is because ibuprofen, which is a non-steroidal anti-inflammatory drug (NSAID), works by reducing hormones that cause inflammation and pain in the body. With pericarditis, which is inflammation of the pericardium (the fibrous sac around the heart), pain relief may not be immediate as it takes time for the inflammation to subside, despite the anti-inflammatory effect of ibuprofen.

It's not typically recommended that patients stop using ibuprofen abruptly without healthcare professional advice (Option 1), nor should they switch medicines without a doctor's recommendation (Option 4). Furthermore, it's unlikely that incorrect use of ibuprofen is the reason for the lack of immediate pain relief (Option 3).

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