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?

30 to 60 seconds

1 to 2 minutes

4 to 5 minutes

4 to 5 seconds

Answer and Explanation

The Correct Answer is B

A.   Pushing morphine too quickly (within 30 to 60 seconds) can increase the risk of adverse effects.
B.   To reduce the risk of respiratory depression, hypotension, and other adverse effects, morphine sulfate should be administered slowly over 1 to 2 minutes when given intravenously.
C.   Pushing over 4 to 5 minutes is excessive and unnecessary for morphine IVP administration.
D.   Pushing morphine too quickly (4 to 5 seconds) can cause serious complications, including respiratory depression.

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Correct Answer is C

Explanation

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.

A. Indigestion B. Weight gain C. Persistent chest pain D. Nausea

Correct Answer is C

Explanation

A. Indigestion is not a severe side effect, although it can be uncomfortable; it is not an indication to stop the medication.
B. Weight gain is not a common or serious adverse effect of sumatriptan.
C. Persistent chest pain is a serious adverse effect of sumatriptan, as it can indicate a cardiovascular event such as angina or a heart attack. The client should stop taking the medication and seek immediate medical attention.
D. Nausea may occur with sumatriptan use but is not a serious adverse effect unless it is accompanied by other severe symptoms.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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?

Correct Answer is C

Explanation

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?

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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?

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

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