The nurse is providing an in-service on non-steroidal anti-inflammatory drugs (NSAIDs). Which of the following medications is a first-generation NSAID that inhibits both COX-1 and COX-2 enzymes?
Celecoxib Celebrex
Morphine sulfate (Astramorph)
Metformin (Glucophage)
Ibuprofen (Motrin)
The Correct Answer is D
Rationale
A. Celecoxib is a second-generation NSAID that specifically inhibits COX-2 enzymes and is less likely to cause gastrointestinal side effects compared to first-generation NSAIDs.
B. Morphine sulfate is an opioid analgesic and does not have NSAID properties. It works by binding to opioid receptors to relieve pain.
C. Metformin is an oral medication used to manage blood glucose in type 2 diabetes and is not an NSAID.
D. Ibuprofen is a first-generation NSAID that inhibits both COX-1 and COX-2 enzymes, reducing pain, inflammation, and fever.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Relief of muscle spasms related to muscle injury: Cyclobenzaprine is a muscle relaxant used to relieve muscle spasms and pain from musculoskeletal injuries.
B. Treatment of malignant hyperthermia: Cyclobenzaprine is not used for malignant hyperthermia.
C. Treatment of osteoporosis: Cyclobenzaprine is not used to treat osteoporosis.
D. Treatment of migraines: Cyclobenzaprine is not used for migraines
Correct Answer is C
Explanation
The total volume to be infused is 500 mL. The total time for the infusion is 2 hours.
The formula to calculate the IV pump rate is: Rate (mL/hr) = Total Volume (mL) / Time (hr)
Rate (mL/hr) = 500 mL / 2 hr Rate (mL/hr) = 250 mL/hr
Therefore, the nurse should set the IV pump to deliver 250 mL/hr.
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