The drug nalbuphine is an agonist-antagonist (partial agonist). The nurse understands that which is a characteristic of partial agonists?

They have a lower dependency potential than agonists.

They have a higher potency than agonists

They have anti-inflammatory effects.

They are given to reverse the effects of opiates

Answer and Explanation

The Correct Answer is A

A. Partial agonists like nalbuphine have a lower dependency potential than full agonists. This means they are less likely to lead to physical dependence or tolerance when used for pain
management.

B. Partial agonists do not necessarily have a higher potency than agonists. Potency refers to the dose of a drug required to produce a specific effect, which can vary among different drugs regardless of their classification as agonists or partial agonists.
C. Partial agonists like nalbuphine are not typically used for their anti-inflammatory effects.

They are primarily used for pain management.

D. Partial agonists like nalbuphine are not typically used to reverse the effects of opiates. They may be used in certain situations to manage opioid-induced side effects or in cases of opioid overdose, but their primary indication is for pain management.

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Correct Answer is A

Explanation

A. Midazolam: Benzodiazepine with rapid onset of action, often preferred for acute seizure management such as status epilepticus.
B. Carbamazepine: Not typically used for acute seizure management like status epilepticus; more commonly used for maintenance therapy in epilepsy.
C. Diazepam: Benzodiazepine also used for acute seizure management, including status epilepticus. However, midazolam is often preferred due to its faster onset and shorter duration.
D. Valproic acid: Effective for long-term seizure control but not typically used for acute seizure management such as status epilepticus.

A. Egg salad sandwich B. Pepperoni pizza C. Pancakes and maple syrup D. Fried eggs over-easy

Correct Answer is B

Explanation

A. Egg salad sandwich: Eggs are generally considered safe to consume with MAOIs. There are no significant interactions between egg salad and MAOIs.
B. Pepperoni pizza: Pepperoni contains high levels of tyramine, which can cause a hypertensive crisis when consumed with MAOIs. Therefore, pepperoni pizza should be avoided by patients
taking MAOIs.

C. Pancakes and maple syrup: Pancakes and maple syrup are generally safe choices with MAOIs, as they do not contain high levels of tyramine.
D. Fried eggs over-easy: Like egg salad, fried eggs are generally considered safe to consume with MAOIs. There are no significant interactions between fried eggs and MAOIs.

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The drug nalbuphine is an agonist-antagonist (partial agonist). The nurse understands that which is a characteristic of partial agonists?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is experiencing status epilepticus. The nurse prepares to give which drug of choice for the treatment of this condition?

Correct Answer is A

Explanation

The nurse is reviewing the food choices of a patient who is taking a monoamine oxidase inhibitor (MAOI). Which food choice would indicate the need for additional teaching?

Correct Answer is B

Explanation

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