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?

Subcutaneous (SQ)

Intravenous (IV)

Oral (PO)

Intramuscular (IM)

Answer and Explanation

The Correct Answer is C

A. Subcutaneous administration is an acceptable route for naloxone when IV access is not available.
B. Intravenous administration is an effective route for naloxone, especially in emergency situations where rapid action is needed.
D. Intramuscular administration is also effective and commonly used, especially in opioid overdose situations.
C. Naloxone should not be administered orally because it undergoes rapid first-pass metabolism in the liver, which would significantly reduce its effectiveness.

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Correct Answer is A

Explanation

A. Dantrolene (Dantrium) is used to treat malignant hyperthermia, a life-threatening condition triggered by certain anesthetic agents. It works by inhibiting calcium release from the sarcoplasmic reticulum in muscle cells, reducing muscle rigidity and preventing further complications.
B. Dantrolene is not used for treating status epilepticus; other medications such as benzodiazepines are used for that purpose.
C. Dantrolene is not used for overactive bladder; medications like anticholinergics or beta-3 agonists are typically prescribed for this condition.
D. While dantrolene can relieve muscle spasms, it is primarily used for conditions like malignant hyperthermia and spasticity from conditions like cerebral palsy or spinal cord injury, rather than just for muscle injury.

A. Redness of the lower left leg B. Swelling of the lower left leg C. Jaundice D. Tenderness of the lower left leg

Correct Answer is C

Explanation

A. Redness and swelling of the leg may indicate a deep vein thrombosis (DVT), which is a known risk with raloxifene.
B. Swelling of the lower leg is a common sign of DVT, which is a potential side effect of raloxifene.
C. Jaundice is not a typical adverse effect of raloxifene. However, if a client experiences jaundice, it could indicate a liver issue, and the medication should be reviewed.
D. Tenderness in the lower leg could also indicate DVT, another serious adverse effect related to raloxifene.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

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?

Correct Answer is C

Explanation

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