The client is brought to the emergency department with a reported overdose of morphine. Which drug does the nurse anticipate will be prescribed?

Butorphanol

Naloxone

Flumazenil

Pentazocine

Answer and Explanation

The Correct Answer is B

A. Butorphanol

Butorphanol is a mixed opioid agonist-antagonist. It has both agonist and antagonist properties at opioid receptors. While it can be used for pain management, it is not commonly used for opioid overdose reversal.

B. Naloxone

Naloxone is an opioid receptor antagonist and is the drug of choice for reversing opioid overdose, including morphine overdose. It works by competitively binding to opioid receptors, blocking the effects of opioids.

C. Flumazenil

Flumazenil is a selective antagonist for benzodiazepines. It is used to reverse the effects of benzodiazepine overdose but does not have an effect on opioid overdose.

D. Pentazocine

Pentazocine is a mixed opioid agonist-antagonist. Like butorphanol, it has both agonist and antagonist properties at opioid receptors. It is used for pain management but is not commonly used for opioid overdose reversal.

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Correct Answer is A

Explanation

A. Misoprostol (Cytotec)
The patient complaining of gastric distress from NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) like aspirin or indomethacin may benefit from the administration of misoprostol (Cytotec). Misoprostol is a prostaglandin analog that helps protect the stomach lining and reduce the risk of NSAID-induced gastric ulcers.

B. Lansoprazole (Prevacid)
Lansoprazole is a proton pump inhibitor (PPI) that reduces stomach acid production. While PPIs can be used for certain acid-related conditions, they do not directly protect against NSAID-induced gastric distress.

C. Magaldrate (Riopan)
Magaldrate is an antacid that neutralizes stomach acid. It may provide relief from symptoms of indigestion but does not specifically address the gastric distress caused by NSAIDs.

D. Magnesium trisilicate (Gaviscon)
Magnesium trisilicate is an antacid that helps neutralize stomach acid. Like magaldrate, it may alleviate symptoms of indigestion but does not target the underlying issue of NSAID-induced gastric distress.

Correct Answer is ["125"]

Explanation

`To calculate the rate of infusion in mL/h, you need to divide the total volume of fluid by the total time of infusion.

In this case, you have 1,000 mL of normal saline (NS) to infuse in eight hours.

Therefore, the rate of infusion is 1,000 mL / 8 h = 125 mL/h.

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The client is brought to the emergency department with a reported overdose of morphine. Which drug does the nurse anticipate will be prescribed?

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Naxlex Comprehensive Predictor Exams

A patient who complains of gastric distress from NSAIDS such as aspirin or indomethacin will most likely benefit from the administration of which medication?

Correct Answer is A

Explanation

Order: 1,000 mL. NS to infuse in eight hours. At what rate in mL/h will you set the pump?

Correct Answer is ["125"]

Explanation

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