Which of the following medication acts as an antagonist on mu receptors and agonists of kappa receptors?

Morphine Sulfate (Astramorph)

Naloxone (Narcan

Butorphanol Stado

Acetaminophen (scenc)

Answer and Explanation

The Correct Answer is C

A.   Morphine is a full agonist on mu receptors and does not act on kappa receptors in the same way.
B.   Naloxone is an opioid antagonist that blocks both mu and kappa receptors.
C.   Butorphanol is a mixed opioid agonist-antagonist that acts as an agonist on kappa receptors and an antagonist on mu receptors. It is used for pain management and has a lower risk of dependence compared to full opioid agonists.
D.   Acetaminophen does not act on opioid receptors and is not classified as an opioid.

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Correct Answer is C

Explanation

A. Redness and swelling of the leg may indicate a deep vein thrombosis (DVT), which is a known risk with raloxifene.
B. Swelling of the lower leg is a common sign of DVT, which is a potential side effect of raloxifene.
C. Jaundice is not a typical adverse effect of raloxifene. However, if a client experiences jaundice, it could indicate a liver issue, and the medication should be reviewed.
D. Tenderness in the lower leg could also indicate DVT, another serious adverse effect related to raloxifene.

A. Morphine (MS Contin B. Acetaminophen (Tylenol) C. Meperidine (Demerol) D. Naloxone (Narcan)

Correct Answer is C

Explanation

A. Morphine is contraindicated for clients with a history of biliary colic because it can cause spasm of the bile ducts, worsening the condition.
B. Acetaminophen is an effective pain reliever for mild to moderate pain but does not provide the same level of pain relief as morphine for severe pain.
C. Meperidine (Demerol) is a safer alternative for clients with biliary colic because it has less effect on the sphincter of Oddi, reducing the risk of spasm.
D. Naloxone is an opioid antagonist used to reverse opioid toxicity, not for pain management.

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Which of the following medication acts as an antagonist on mu receptors and agonists of kappa receptors?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who is taking raloxifene (Evista) to prevent postmenopausal osteoporosis. Which of the following options DOES NOT indicate an adverse effect of this medication?

Correct Answer is C

Explanation

A client has been newly prescribed with morphine sulfate (Astramorph) for severe acute pain after seeing the physician for a follow-up appointment. However, the nurse noted that the client has a history of biliary colic. What is an alternative to morphine sulfate (Astramorph) for this client?

Correct Answer is C

Explanation

A client has a new prescription for cyclobenzaprine (Flexeril). Which of the following statements should the nurse include as a therapeutic indication for this medication?

A client has a new prescription for baclofen (Lioresal). Which of the following statements should the nurse include as a therapeutic indication for this medication?

A nurse is preparing an in-service presentation on medication classifications. Which of the following medications are considered opioid antagonists? (Select All That Apply.)

A new client has been admitted to the hospital and reported taking acetaminophen (Tylenol) at home. The nurse should identify that which of the following conditions is contraindicated for acetaminophen (Tylenol)?

A nurse is teaching a client about a new prescription for Ibuprofen (Motrin) Which of the following information should the nurse include in the teaching?

A nurse is caring for a client who has overdosed on morphine sulfate (Astramorph) and was provided naloxone (Narcan) via subcutaneous route 15 minutes ago. Which of the following signs indicate that the client has abstinence syndrome? (Select All That Apply.).

Which of the following medication acts as an antagonist on mu receptors and agonists of kappa receptors?

A nurse is preparing to administer naloxone (Narcan). The nurse understands that this medication has a rapid first-pass inactivation. Which of the route should the nurse NOT administer this medication?