The nurse is caring for a client in the medical-surgical unit.

Exhibits

The nurse is considering administering a medication for the client's concern of constipation. Which of the following medication is indicated for constipation? Select the best option from the drop-down list to best answer the question.

Digoxin

Sildenafil

Lactulose

Spironolactone

Answer and Explanation

The Correct Answer is C

A.   Digoxin: This medication is used for heart failure and atrial fibrillation, not for constipation.
B.   Sildenafil: This medication is used to treat erectile dysfunction, not constipation.
C.   Lactulose: Lactulose is an osmotic laxative commonly used to treat constipation. It works by drawing water into the stool to make bowel movements easier.
D.   Spironolactone: Spironolactone is a potassium-sparing diuretic used to treat heart failure and fluid retention, not constipation.

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Correct Answer is C

Explanation

A. An allergic reaction: An allergic reaction is an immune response, not the reduction of drug effect.
B. A synergistic effect: A synergistic effect occurs when two drugs enhance each other's effects.
C. An antagonistic effect: An antagonistic effect occurs when one drug reduces or counteracts the effect of another drug.
D. None of the above: The correct term is "antagonistic effect."

A. Morphine sulfate acts as an antagonist on the mu and kappa receptors. B. Morphine sulfate acts as an agonist on the mu and kappa receptors C. Morphine sulfate has a less analgesic effect compared to butorphanol. D. Morphine sulfate has a low potential for abuse, causing little euphoria.

Correct Answer is B

Explanation

A. Morphine is an opioid agonist, not an antagonist. It binds to the mu and kappa receptors to produce its analgesic effects.
B. Morphine sulfate is an opioid analgesic that works by binding to the mu and kappa receptors in the brain and spinal cord, which produces pain relief.
C. This statement is not accurate. Morphine sulfate typically has a stronger analgesic effect than butorphanol, a partial opioid agonist.
D. Morphine sulfate has a high potential for abuse due to its euphoric effects and is classified as a controlled substance.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a client about taking a tetracycline along with an antacid. The nurse explains to the client not to take these two medications because the antacid can reduce the absorption of the tetracycline. When one drug reduces the effect of another, it is:

Correct Answer is C

Explanation

A nurse is educating a client about a new prescription for morphine sulfate (Astramorph). Which of the following statement should the nurse include in the teaching about morphine?

Correct Answer is B

Explanation

A client has been newly prescribed with cyclobenzaprine (Flexeril). Which of the following statements indicates the correct therapeutic use for this medication?

A client is being admitted for hypernatremia. A nurse is preparing to administer 0.45% sodium chloride 500 mL IV to the client over 2 hours. The nurse should set the IV pump to deliver how many mL/hr?

A nurse is providing client education for a client who has been prescribed with furosemide (Lasix). Which of the following statements should the nurse include?

A nurse is providing an in-service on the complications of naloxone (Narcan), such as abstinence syndrome. Which of the following signs and symptoms should the nurse include in her in-service about abstinence syndrome?

A nurse is reviewing the phases of pharmacokinetics. Which of the following phases is the change of a drug into a less or more potent or more soluble form after it passes through the liver?

Which of the following phases of pharmacokinetics is described as the removal of the drug or its metabolites through the kidneys, gastrointestinal tract, skin, or lungs?

A client is prescribed ethinyl estradiol and drospirenone (Yasmin) to prevent pregnancy. The client missed two days of her medication. What is an appropriate client education for this client?

The nurse is preparing to administer hydration via an intravenous route to a client. The nurse understands that the patient needs an isotonic solution. Which of the following options is considered an isotonic solution?