A client has been newly prescribed with morphine sulfate (Astramorph) for severe acute pain after seeing the physician for a follow-up appointment. However, the nurse noted that the client has a history of biliary colic. What is an alternative to morphine sulfate (Astramorph) for this client?

Morphine (MS Contin

Acetaminophen (Tylenol)

Meperidine (Demerol)

Naloxone (Narcan)

Answer and Explanation

The Correct Answer is C

A.   Morphine is contraindicated for clients with a history of biliary colic because it can cause spasm of the bile ducts, worsening the condition.
B.   Acetaminophen is an effective pain reliever for mild to moderate pain but does not provide the same level of pain relief as morphine for severe pain.
C.   Meperidine (Demerol) is a safer alternative for clients with biliary colic because it has less effect on the sphincter of Oddi, reducing the risk of spasm.
D.   Naloxone is an opioid antagonist used to reverse opioid toxicity, not for pain management.

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Correct Answer is A

Explanation

A. Dantrolene (Dantrium) is used to treat malignant hyperthermia, a life-threatening condition triggered by certain anesthetic agents. It works by inhibiting calcium release from the sarcoplasmic reticulum in muscle cells, reducing muscle rigidity and preventing further complications.
B. Dantrolene is not used for treating status epilepticus; other medications such as benzodiazepines are used for that purpose.
C. Dantrolene is not used for overactive bladder; medications like anticholinergics or beta-3 agonists are typically prescribed for this condition.
D. While dantrolene can relieve muscle spasms, it is primarily used for conditions like malignant hyperthermia and spasticity from conditions like cerebral palsy or spinal cord injury, rather than just for muscle injury.

A. Oxycodone (Oxycontin) B. Naproxen (Aleve) C. Naltrexone (Vivitrol) D. Naloxone (Narcan

Correct Answer is ["C","D"]

Explanation

A. Oxycodone is an opioid agonist, not an antagonist. It is used for pain management.
B. Naproxen is a nonsteroidal anti-inflammatory drug (NSAID), not an opioid antagonist. It is used to reduce inflammation and pain.
C. Naltrexone is an opioid antagonist that blocks the effects of opioids and is used for treating opioid addiction and alcohol use disorder.
D. Naloxone (Narcan) is an opioid antagonist used to reverse opioid overdose by blocking the effects of opioids on the brain.

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A client has been newly prescribed with morphine sulfate (Astramorph) for severe acute pain after seeing the physician for a follow-up appointment. However, the nurse noted that the client has a history of biliary colic. What is an alternative to morphine sulfate (Astramorph) for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client about dantrolene (Dantrium). Which of the following statements indicate the appropriate therapeutic use of this medication?

Correct Answer is A

Explanation

A nurse is preparing an in-service presentation on medication classifications. Which of the following medications are considered opioid antagonists? (Select All That Apply.)

Correct Answer is ["C","D"]

Explanation

A nurse is caring for a client with a prescription for celecoxib (Celebrex). The nurse tells the client to report which of the following adverse drug reactions?

A nurse is caring for a client that was overdosed with fentanyl. The nurse is concerned that the client is experiencing opioid toxicity triad. Which of the following signs indicate that the client is experiencing opioid toxicity triad? (Select All That Apply.).

Which of the following medication acts as an antagonist on mu receptors and agonists of kappa receptors?

A nurse is evaluating the effectiveness of a medication for a client taking cyclobenzaprine (Flexeril). Which of the following statements indicate that the medication is effective for the client?

A new client has been admitted to the hospital and reported taking acetaminophen (Tylenol) at home. The nurse should identify that which of the following conditions is contraindicated for acetaminophen (Tylenol)?

A nurse is educating a client about interactions with acetylsalicylic acid (Aspirin). Which of the following supplements increases the risk of bleeding in clients who are taking NSAIDs? (Select All That Apply.)