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
_

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

A.   Agitation is not a typical complication of morphine sulfate. In fact, morphine and other opioids generally cause sedation rather than agitation. Agitation may occur in rare cases due to discomfort (such as from constipation) or withdrawal symptoms, but it is not a common complication of morphine use.
B.   Respiratory depression is a known and serious complication of morphine sulfate and other opioid medications. Opioids can reduce the body's respiratory drive, leading to slower and less effective breathing. This can be life-threatening, especially with higher doses or if combined with other sedative medications.
C.   Dilated pupils (mydriasis) are typically not a complication of morphine use. Opioids, including morphine, typically cause constricted pupils (miosis), which is a hallmark sign of opioid use or overdose. Dilated pupils are more commonly associated with stimulant drug use (e.g., cocaine) or certain medical conditions, not opioids like morphine.
D.   Bradycardia (slow heart rate) is a known side effect of morphine sulfate and other opioids. Opioids can affect the autonomic nervous system and cause a decrease in heart rate. This is particularly important to monitor for, especially in patients with existing heart conditions or those taking other medications that might also affect heart rate.
E.   Diarrhea is generally not a complication of morphine use. Instead, one of the most common side effects of morphine and other opioids is constipation due to their effect on the gastrointestinal system. Opioids slow down the movement of the intestines, which can lead to constipation, but diarrhea is not a typical response.

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Correct Answer is B

Explanation

A. Baclofen does not treat muscle spasms resulting from injury, as its primary use is for spasticity related to neurological conditions.
B. Baclofen is primarily used to treat spasticity, which is commonly seen in conditions such as cerebral palsy, spinal cord injury, and multiple sclerosis. It works by acting on the central nervous system to reduce muscle stiffness and spasm.
C. Malignant hyperthermia is typically treated with dantrolene, not baclofen.
D. Baclofen does not treat opioid overdose; naloxone is the medication used for this purpose.

A. Morphine sulfate (Astramorph B. Fentanyl C. Naltrexone (Muition) D. Methadone (Methacose)

Correct Answer is D

Explanation

A. Morphine sulfate is an opioid used for pain management and not for treating opioid use disorder.
B. Fentanyl is a powerful opioid and would not be prescribed for opioid abuse; it may be used for pain management in certain cases but is not for detoxification or maintenance.
C. Naltrexone is another option for opioid use disorder but is typically used after detoxification. It is not used for detoxification itself.
D. Methadone is commonly prescribed for the treatment of opioid use disorder, as it helps reduce cravings and withdrawal symptoms without causing a high.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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?

Correct Answer is D

Explanation

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 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 caring for a client with a new prescription for alendronate (Fosamax). Which of the following symptoms indicate a possible complication of this medication?

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 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 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 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 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.).