Which of the following is a type of opioid drug?
Colchicine
Ibuprofen
Fentanyl
Acetylsalicylic Acid
The Correct Answer is C
A. Colchicine: Colchicine is an anti-inflammatory medication primarily used to treat gout and familial Mediterranean fever. It is not an opioid and does not act on opioid receptors to produce analgesia or sedation.
B. Ibuprofen: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces pain, fever, and inflammation by inhibiting cyclooxygenase enzymes. It does not bind to opioid receptors and is not classified as an opioid.
C. Fentanyl: Fentanyl is a potent synthetic opioid that binds to mu-opioid receptors in the central nervous system, producing analgesia, sedation, and euphoria. It is commonly used for severe pain management and as an adjunct in anesthesia.
D. Acetylsalicylic Acid: Acetylsalicylic acid (aspirin) is an NSAID with analgesic, anti-inflammatory, and antiplatelet properties. It is not an opioid and does not produce the central nervous system effects characteristic of opioids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
A. Occasional palpitations: Palpitations are a common sign of levothyroxine toxicity because excessive thyroid hormone increases cardiac output and sympathetic activity, leading to an elevated heart rate and irregular heart rhythms, which can be dangerous if untreated.
B. Seasonal allergies: Seasonal allergies are unrelated to levothyroxine therapy. They are a chronic, immune-mediated response to environmental allergens and do not indicate thyroid hormone toxicity.
C. Muscle pain: Muscle aches or weakness can occur with levothyroxine overdose due to hypermetabolism, increased protein catabolism, and overstimulation of muscle activity, making this a relevant symptom of toxicity.
D. Excessive sweating: Hyperthyroid-like symptoms, including diaphoresis, occur with levothyroxine toxicity as a result of increased basal metabolic rate and overstimulation of sympathetic nervous system activity.
E. Diarrhea: Increased gastrointestinal motility is a hallmark of levothyroxine overdose. Clients may experience frequent loose stools or diarrhea due to the hypermetabolic state induced by excess thyroid hormone.
Correct Answer is B
Explanation
A. "I will increase my dietary intake of iodine.": Methimazole works by inhibiting thyroid hormone synthesis, and increasing iodine intake may counteract its effects or worsen hyperthyroidism. Clients should avoid excessive iodine unless specifically directed by the provider.
B. "I will take my dose of medication with food.": Taking methimazole with food helps minimize gastrointestinal irritation, a common side effect. This demonstrates the client understands proper administration techniques to improve tolerance while maintaining therapeutic effectiveness.
C. "I will skip a dose if I experience palpitations.": Skipping doses without consulting the provider is unsafe, as inconsistent medication can worsen hyperthyroid symptoms and interfere with achieving a therapeutic effect. Palpitations should be reported, not treated by omission of the dose.
D. "My symptoms will improve within 24 hours.": Methimazole has a delayed onset of action; symptom improvement usually takes several weeks as thyroid hormone levels gradually decrease. Expecting immediate relief reflects a misunderstanding of the drug’s pharmacodynamics.
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