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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
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.
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