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","D"]

Explanation

A. Coma is typically a symptom of opioid overdose, not abstinence syndrome.
B. Pinpoint pupils are commonly associated with opioid toxicity, not abstinence syndrome.
C. Fever is a sign of abstinence syndrome, which can occur after opioid withdrawal.
D. Vomiting is also a symptom of abstinence syndrome, which is a withdrawal reaction that can occur when naloxone reverses opioid effects.

A. A decrease in urinary urgency, frequency, nocturia, and urge incontinence, B. An absence of muscle rigidity and spasms with a good range of motion. C. Physical dependence from chronic long-term use D. No spontaneous respiratory movements in the clients caving mechanical ventilation

Correct Answer is B

Explanation

A. Urinary symptoms such as urgency and frequency are not related to the therapeutic effects of cyclobenzaprine.
B. Cyclobenzaprine is a muscle relaxant, and its effectiveness is indicated by a reduction in muscle rigidity and spasms, along with improved range of motion.
C. Physical dependence is not a goal of treatment with cyclobenzaprine. The effectiveness of the medication should be measured by symptom relief, not dependence.
D. Cyclobenzaprine does not affect respiratory function, so the absence of spontaneous respiratory movements in mechanically ventilated clients is unrelated to the medication's action.

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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 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.).

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

Explanation

A nurse is evaluating the effectiveness of a medication for a client taking cyclobenzaprine (Flexeril). Which of the following statements indicate that the medication is effective for the client?

Correct Answer is B

Explanation

A nurse is providing education to a client who has migraine headaches and has a new prescription for sumatriptan (Imitrex). Which manifestations Indicate a possible adverse reaction that the nurse should instruct the client to stop taking the medication and notify the provider?

A nurse is providing an in-service regarding medications that can cause abstinence syndrome. Which of the following medications can cause abstinence syndrome? (Select All That Apply.).

A nurse is educating a client about interactions with acetylsalicylic acid (Aspirin). Which of the following supplements increases the risk of bleeding in clients who are taking NSAIDs? (Select All That Apply.)

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

A nurse is planning care for a client who has completed a detoxification from opioid abuse disorder. The nurse should expect a prescription for which of the following medications for the treatment of opioid abuse?

A nurse is caring for a client with a prescription for celecoxib (Celebrex). The nurse tells the client to report which of the following adverse drug reactions?

A nurse is educating a client with a new prescription of alendronate (Fosamax) for osteoporosis. Which of the following statements should the nurse include in her patient's education about this medication?