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)

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","D"]

Explanation

A. A client with a history of thromboembolic disease: Estrogen therapy is contraindicated in clients with a history of thromboembolic disease due to the increased risk of blood clots.
B. A client with a history of hypertension: Hypertension is a relative contraindication, but it may still be prescribed with caution.
C. A client with a history of depression: Depression is not a contraindication to estrogen therapy.
D. A client with atypical vaginal bleeding that is not diagnosed: Unexplained vaginal bleeding should be investigated before administering estrogen therapy.

A. Vomiting B. Restlessness C. Pulmonary edema D. Nausea

Correct Answer is B

Explanation

A. Vomiting is not typically associated with extrapyramidal symptoms (EPS). However, prochlorperazine is used to prevent nausea and vomiting, so vomiting would not be related to EPS.
B. Restlessness (also called akathisia) is a common symptom of EPS, which is a movement disorder that can occur as a side effect of antipsychotic medications like prochlorperazine. Other symptoms may include tremors, rigidity, and bradykinesia.
C. Pulmonary edema is not a sign of EPS. It is a serious condition involving fluid accumulation in the lungs, typically related to heart failure or other serious health conditions.
D. Nausea is not a sign of EPS. While prochlorperazine is used to treat nausea, EPS symptoms typically involve abnormal movements or muscle control issues.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a female client who is taking conjugated equine estrogens (Premarin). Which of the following clients are contraindicated for conjugated equine estrogens (Premarin)? (Select All That Apply).

Correct Answer is ["A","D"]

Explanation

A nurse administered prochlorperazine (Compazine) IV to a client three hours ago. The nurse understands that a complication of this medication includes extrapyramidal symptoms (EPS). Which of the following signs indicate EPS?

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 nurse is providing an in-service on raloxifene (Evista) to a group of female clients. What is the pregnancy risk category of raloxifene (Evista)?

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:

The client has been prescribed acetylsalicylic acid (Aspirin) by the healthcare provider. However, the client is not sure about the uses of aspirin. What of the following are the appropriate indications for aspirin? (Select All That Apply.).

A new patient on the unit is scheduled to take two medications at 0900. Before giving the medications, the nurse goes over her medication rights and checks. Which of the following option is not included in the 10 rights of safe medication administration?

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?

A nurse administered ondansetron (Zofran) IV to a client 30 minutes ago. Which of the following findings should the nurse recognize as a complication of this medication?

A nurse is preparing to administer a medication to a client for motion sickness. Which of the following medications has therapeutic use in treating motion sickness?