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 D

Explanation

A. Diarrhea is a known side effect of celecoxib but not typically a sign of a serious reaction.
B. Headache is a mild side effect that may occur with celecoxib use but is not a severe adverse reaction.
C. Nausea is a common side effect of many medications, including celecoxib, but is not a critical issue unless severe.
D. Chest pressure could indicate cardiovascular problems, which is a serious adverse effect of celecoxib and other COX-2 inhibitors. Clients should report this immediately, as it may indicate a risk for myocardial infarction or stroke.

A. Morphine Sulfate (Astramorph) B. Naloxone (Narcan C. Butorphanol Stado D. Acetaminophen (scenc)

Correct Answer is C

Explanation

A. Morphine is a full agonist on mu receptors and does not act on kappa receptors in the same way.
B. Naloxone is an opioid antagonist that blocks both mu and kappa receptors.
C. Butorphanol is a mixed opioid agonist-antagonist that acts as an agonist on kappa receptors and an antagonist on mu receptors. It is used for pain management and has a lower risk of dependence compared to full opioid agonists.
D. Acetaminophen does not act on opioid receptors and is not classified as an opioid.

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

Correct Answer is D

Explanation

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

Correct Answer is C

Explanation

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?

A nurse receives an order for morphine sulfate (Astramorph) to be administered as an intravenous push (IVP) for severe pain. When giving morphine sulfate (Astramorph) IVP, the nurse understands that this medication needs to be pushed for how long to prevent adverse reactions?

A nurse is planning care for a client who has completed a detoxification from opioid abuse disorder. The nurse should expect a prescription for which of the following medications for the treatment of opioid abuse?

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

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.).

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 caring for a client who has overdosed on morphine sulfate (Astramorph) and was provided naloxone (Narcan) via subcutaneous route 15 minutes ago. Which of the following signs indicate that the client has abstinence syndrome? (Select All That Apply.).