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?

Analyze Cues

Acetaminophen

Alendronate

Naloxone

Morphine sulfate

Answer and Explanation

The Correct Answer is B

A.   Acetaminophen is an over-the-counter pain reliever commonly used to reduce mild to moderate pain, such as headaches or muscle aches. It does not treat osteoporosis. It may help with pain associated with bone fractures or discomfort from osteoporosis but does not impact bone density or prevent fractures.
B.   Alendronate (brand name Fosamax) is a bisphosphonate used specifically to treat and prevent osteoporosis, particularly in postmenopausal women. It works by inhibiting bone resorption (the process by which bone is broken down and minerals are released into the bloodstream), thereby increasing bone density and reducing the risk of fractures.
C.   Naloxone (brand name Narcan) is an opioid antagonist used to reverse opioid overdoses. It has no role in the treatment or prevention of osteoporosis. This medication is used in emergency settings to counteract respiratory depression caused by opioid overdose and should not be used for osteoporosis treatment.
D.   Morphine sulfate is a narcotic analgesic used to manage severe pain. While it may be used for pain relief in individuals with osteoporosis who have experienced a fracture or severe pain, it does not treat the underlying condition of osteoporosis.

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Correct Answer is D

Explanation

A. Ibuprofen does not inhibit mu receptors. Mu receptors are associated with opioid actions, while ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID).
B. While long-term use of ibuprofen may increase the risk of cardiovascular events like myocardial infarction, this is not the primary action of the drug.
C. Ibuprofen does not decrease the risk of stroke. In fact, chronic use of NSAIDs may actually increase the risk of bleeding and stroke.
D. Ibuprofen inhibits both COX-1 and COX-2 enzymes, which are involved in the inflammatory process. This inhibition helps reduce pain, inflammation, and fever.

A. Petechiae B. Osteoporosis C. Pneumonia D. Diaphoresis

Correct Answer is A

Explanation

A. Petechiae is an early sign of acetaminophen toxicity. It indicates a potential bleeding disorder due to liver damage, which can occur from prolonged or high-dose use of acetaminophen.
B. Osteoporosis is not a symptom of acetaminophen toxicity.
C. Pneumonia is unrelated to acetaminophen toxicity and is more likely to occur due to infections.
D. Diaphoresis (sweating) is not a primary early symptom of acetaminophen toxicity, although it could occur in later stages of liver failure.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

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?

Correct Answer is A

Explanation

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 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)?

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

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 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 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?