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

Morphine Sulfate (Astramorph)

Naloxone (Narcan

Butorphanol Stado

Acetaminophen (scenc)

Answer and Explanation

The Correct Answer is C

A.   Morphine is a full agonist on mu receptors and does not act on kappa receptors in the same way.
B.   Naloxone is an opioid antagonist that blocks both mu and kappa receptors.
C.   Butorphanol is a mixed opioid agonist-antagonist that acts as an agonist on kappa receptors and an antagonist on mu receptors. It is used for pain management and has a lower risk of dependence compared to full opioid agonists.
D.   Acetaminophen does not act on opioid receptors and is not classified as an opioid.

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

Explanation

A. Butorphanol is a mixed opioid agonist-antagonist that can cause withdrawal symptoms in opioid- dependent clients due to its partial antagonism at mu receptors.
B. Buprenorphine is a partial agonist at mu receptors and can also precipitate withdrawal symptoms in individuals who are opioid-dependent.
C. Oxycodone is a full agonist and does not cause withdrawal symptoms unless abruptly discontinued in opioid-dependent individuals.
D. Naloxone is an opioid antagonist used to reverse opioid overdose and is unlikely to cause abstinence syndrome, although it can precipitate withdrawal in opioid-dependent clients when used.

A. Inflammation on the calf B. Drowsiness C. Dysphagia D. Nausea

Correct Answer is C

Explanation

A. Inflammation on the calf is not a common complication of alendronate.
B. Drowsiness is not typically associated with alendronate.
C. Dysphagia (difficulty swallowing) can be a sign of esophageal irritation or ulceration, which are known complications of alendronate. Clients should be instructed to take the medication with a full glass of water and remain upright for at least 30 minutes after administration.
D. Nausea is a common side effect, but dysphagia is a more serious concern that requires attention.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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.).

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

Explanation

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?

Correct Answer is C

Explanation

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 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 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?

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?

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 educating a client with a new prescription of alendronate (Fosamax) for osteoporosis. Which of the following statements should the nurse include in her patient's education about this medication?

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