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?

Morphine (MS Contin

Acetaminophen (Tylenol)

Meperidine (Demerol)

Naloxone (Narcan)

Answer and Explanation

The Correct Answer is C

A.   Morphine is contraindicated for clients with a history of biliary colic because it can cause spasm of the bile ducts, worsening the condition.
B.   Acetaminophen is an effective pain reliever for mild to moderate pain but does not provide the same level of pain relief as morphine for severe pain.
C.   Meperidine (Demerol) is a safer alternative for clients with biliary colic because it has less effect on the sphincter of Oddi, reducing the risk of spasm.
D.   Naloxone is an opioid antagonist used to reverse opioid toxicity, not for pain management.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Acetaminophen is contraindicated in clients with alcohol use disorder because chronic alcohol use increases the risk of liver damage, and acetaminophen can cause hepatotoxicity.
B. Acetaminophen does not have a direct contraindication with asthma.
C. Acetaminophen is safe for clients with diabetes unless there are other contraindications or liver issues.
D. Heart failure is not a contraindication for acetaminophen, but caution should be used in cases of severe liver disease, which may be related to heart failure.

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"

Correct Answer is C

Explanation

A. After taking alendronate, clients should not lie down flat for at least 30 minutes to avoid esophageal irritation and potential damage.
B. Alendronate should be taken before breakfast, but the client should not lie down afterward. It should be taken on an empty stomach.
C. The correct instruction is to sit up or ambulate for at least 30 minutes after taking alendronate. This prevents esophageal irritation and ensures proper absorption.
D. Alendronate is typically taken whole with a full glass of water, not chewed, and should not be taken after meals.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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)?

Correct Answer is A

Explanation

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?

Correct Answer is C

Explanation

A nurse is educating a client about dantrolene (Dantrium). Which of the following statements indicate the appropriate therapeutic use of this medication?

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 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 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 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 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?