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?

30 to 60 seconds

1 to 2 minutes

4 to 5 minutes

4 to 5 seconds

Answer and Explanation

The Correct Answer is B

A.   Pushing morphine too quickly (within 30 to 60 seconds) can increase the risk of adverse effects.
B.   To reduce the risk of respiratory depression, hypotension, and other adverse effects, morphine sulfate should be administered slowly over 1 to 2 minutes when given intravenously.
C.   Pushing over 4 to 5 minutes is excessive and unnecessary for morphine IVP administration.
D.   Pushing morphine too quickly (4 to 5 seconds) can cause serious complications, including respiratory depression.

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Free Nursing Study Resources

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

Explanation

A. Ginger is known to increase the risk of bleeding when taken with NSAIDs like aspirin because it has anticoagulant properties that can enhance the bleeding effects.
B. Vitamin D does not have an effect on bleeding and is not associated with an increased risk when taken with NSAIDs.
C. Feverfew also has anticoagulant effects and can increase the risk of bleeding, especially when combined with NSAIDs.
D. Garlic has natural blood-thinning properties and can increase the risk of bleeding, particularly when combined with NSAIDs.

A. Inhibits mu receptors. B. Increases the risk for a myocardial infarction. C. Decreases the risk of stroke D. Inhibits COX 1 and COX-2

Correct Answer is D

Explanation

A. Ibuprofen does not inhibit mu receptors. Mu receptors are associated with opioid actions, while ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID).
B. While long-term use of ibuprofen may increase the risk of cardiovascular events like myocardial infarction, this is not the primary action of the drug.
C. Ibuprofen does not decrease the risk of stroke. In fact, chronic use of NSAIDs may actually increase the risk of bleeding and stroke.
D. Ibuprofen inhibits both COX-1 and COX-2 enzymes, which are involved in the inflammatory process. This inhibition helps reduce pain, inflammation, and fever.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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.)

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

Explanation

A nurse is teaching a client about a new prescription for Ibuprofen (Motrin) Which of the following information should the nurse include in the teaching?

Correct Answer is 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 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.).

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

A client has a new prescription for baclofen (Lioresal). Which of the following statements should the nurse include as a therapeutic indication for 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?

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