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

Explanation

A. Coma is a common symptom of opioid toxicity, including toxicity from fentanyl.
B. Respiratory depression is a hallmark of opioid toxicity and can be life-threatening.
C. Dilated pupils are generally associated with stimulant overdose, not opioid toxicity. Opioid toxicity typically causes pinpoint pupils.
D. Pinpoint pupils (miosis) are a classic sign of opioid toxicity and are present in the opioid toxicity triad.

A. Indigestion B. Weight gain C. Persistent chest pain D. Nausea

Correct Answer is C

Explanation

A. Indigestion is not a severe side effect, although it can be uncomfortable; it is not an indication to stop the medication.
B. Weight gain is not a common or serious adverse effect of sumatriptan.
C. Persistent chest pain is a serious adverse effect of sumatriptan, as it can indicate a cardiovascular event such as angina or a heart attack. The client should stop taking the medication and seek immediate medical attention.
D. Nausea may occur with sumatriptan use but is not a serious adverse effect unless it is accompanied by other severe symptoms.

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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 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.).

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

Explanation

A nurse is providing education to a client who has migraine headaches and has a new prescription for sumatriptan (Imitrex). Which manifestations Indicate a possible adverse reaction that the nurse should instruct the client to stop taking the medication and notify the provider?

Correct Answer is C

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

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?

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 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 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 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 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?