Exam Review
- 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)Relief of muscle spasms related to muscle injury.B)Relief of spasticity related to cerebral palsy, spinal cord injury, and multiple sclerosisC)Treatment of malignant hyperthermia.D)Treatment of opioid overdose
- 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?A)IndigestionB)Weight gainC)Persistent chest painD)Nausea
- Which of the following medication acts as an antagonist on mu receptors and agonists of kappa receptors?A)Morphine Sulfate (Astramorph)B)Naloxone (NarcanC)Butorphanol StadoD)Acetaminophen (scenc)
- 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?A)30 to 60 secondsB)1 to 2 minutesC)4 to 5 minutesD)4 to 5 seconds
Exam Review
- A nurse is providing teaching to a client who is taking raloxifene (Evista) to prevent postmenopausal osteoporosis. Which of the following options DOES NOT indicate an adverse effect of this medication?A)Redness of the lower left legB)Swelling of the lower left legC)JaundiceD)Tenderness of the lower left leg
- A new client has been admitted to the hospital and reported taking acetaminophen (Tylenol) at home. The nurse should identify that which of the following conditions is contraindicated for acetaminophen (Tylenol)?A)Alcohol use disorderB)AsthmaC)DiabetesD)Heart failure
- 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)Morphine sulfate (AstramorphB)FentanylC)Naltrexone (Muition)D)Methadone (Methacose)
- 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)Subcutaneous (SQ)B)Intravenous (IV)C)Oral (PO)D)Intramuscular (IM)
Exam Review
- 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?A)Inflammation on the calfB)DrowsinessC)DysphagiaD)Nausea
- 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.).(SATA)A)Butorphanol (Stadol)B)Buprenorphine (Buprenex)C)Oxycodone (Oxycontin)D)Naloxone (Narcan)
- 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)A decrease in urinary urgency, frequency, nocturia, and urge incontinence,B)An absence of muscle rigidity and spasms with a good range of motion.C)Physical dependence from chronic long-term useD)No spontaneous respiratory movements in the clients caving mechanical ventilation
- A nurse is preparing an in-service for a group of clients in a nursing home. The nurse is assigned to educate clients about osteoporosis. A nurse is preparing an in-service for older clients in a nursing home with osteoporosis. Which of the following options is an appropriate medication used to treat and prevent postmenopausal osteoporosis?A)Analyze CuesB)AcetaminophenC)AlendronateD)NaloxoneE)Morphine sulfate
Exam Review
- A nurse is educating a client about dantrolene (Dantrium). Which of the following statements indicate the appropriate therapeutic use of this medication?A)“This medication is also used to treat malignant hyperthermia.”B)“This medication is used to treat status epilepticus."C)“This medication is used to treat overactive bladderD)“This medication is only used to relieve muscle spasms related to muscle injury.“
- 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)Inhibits mu receptors.B)Increases the risk for a myocardial infarction.C)Decreases the risk of strokeD)Inhibits COX 1 and COX-2
- 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)Relief of muscle spasms related to muscle injury.B)Relief of spasticity related to cerebral palsy, spinal cord injury, and multiple sclerosisC)Treatment of malignant hyperthermia.D)Treatment of postmenopausal osteoporosis.
- 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?A)"After taking this medication, you must lie down flat for at least 30 hours."B)"You should take this medication before going to bed after a large meal."C)"After taking this medication, you should sit up or ambulate for at least 30 minutes.”D)"You should chew on this medication and take it after breakfast"
Exam Review
- 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)Oxycodone (Oxycontin)B)Naproxen (Aleve)C)Naltrexone (Vivitrol)D)Naloxone (Narcan
- A nurse is caring for a client who is newly prescribed with morphine sulfate (Astramorph) for moderate pain. The client is not sure about the possible complications of this medication. Complete the sentence with the appropriate responses. The nurse understands that complications of morphine sulfate (Astramorph) include ___ and ___
- 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.)A)GingerB)Vitamin DC)FeverfewD)Garlic
- 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)Morphine (MS ContinB)Acetaminophen (Tylenol)C)Meperidine (Demerol)D)Naloxone (Narcan)
Exam Review
- 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)ComaB)Respiratory depressionC)Dilated pupilsD)Pinpoint pupils
- 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.).A)ComaB)Pinpoint pupilsC)FeverD)Vomiting
- 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)DiarrheaB)HeadacheC)NauseaD)Chest pressure
- 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)PetechiaeB)OsteoporosisC)PneumoniaD)Diaphoresis