A nurse is preparing an in-service for a group of clients in a nursing home. The nurse is assigned to educate clients about osteoporosis.
A nurse is preparing an in-service for older clients in a nursing home with osteoporosis. Which of the following options is an appropriate medication used to treat and prevent postmenopausal osteoporosis?

Analyze Cues

Acetaminophen

Alendronate

Naloxone

Morphine sulfate

Answer and Explanation

The Correct Answer is B

A.   Acetaminophen is an over-the-counter pain reliever commonly used to reduce mild to moderate pain, such as headaches or muscle aches. It does not treat osteoporosis. It may help with pain associated with bone fractures or discomfort from osteoporosis but does not impact bone density or prevent fractures.
B.   Alendronate (brand name Fosamax) is a bisphosphonate used specifically to treat and prevent osteoporosis, particularly in postmenopausal women. It works by inhibiting bone resorption (the process by which bone is broken down and minerals are released into the bloodstream), thereby increasing bone density and reducing the risk of fractures.
C.   Naloxone (brand name Narcan) is an opioid antagonist used to reverse opioid overdoses. It has no role in the treatment or prevention of osteoporosis. This medication is used in emergency settings to counteract respiratory depression caused by opioid overdose and should not be used for osteoporosis treatment.
D.   Morphine sulfate is a narcotic analgesic used to manage severe pain. While it may be used for pain relief in individuals with osteoporosis who have experienced a fracture or severe pain, it does not treat the underlying condition of osteoporosis.

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Correct Answer is A

Explanation

A. Cyclobenzaprine (Flexeril) is a muscle relaxant used to relieve muscle spasms caused by muscle injury. It works by acting on the central nervous system to reduce muscle tone.
B. Cyclobenzaprine is not effective for spasticity related to conditions like cerebral palsy, spinal cord injury, or multiple sclerosis; other medications like baclofen are more appropriate for spasticity.
C. Cyclobenzaprine is not used to treat malignant hyperthermia. This condition is treated with dantrolene.
D. Cyclobenzaprine does not treat postmenopausal osteoporosis, which is typically managed with medications like bisphosphonates (e.g., alendronate).

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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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has a new prescription for cyclobenzaprine (Flexeril). Which of the following statements should the nurse include as a therapeutic indication for 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 preparing to administer naloxone (Narcan). The nurse understands that this medication has a rapid first-pass inactivation. Which of the route should the nurse NOT administer this medication?

A nurse is providing an in-service regarding medications that can cause abstinence syndrome. Which of the following medications can cause abstinence syndrome? (Select All That Apply.).

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 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 with a new prescription for alendronate (Fosamax). Which of the following symptoms indicate a possible complication of this medication?

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 caring for a client who is taking acetaminophen (Tylenol) at regular intervals for mild pain. The nurse should tell the client to report which of the following early manifestations of acetaminophen toxicity?