Exploring the Effects of Morphine
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Questions and Answers

Which type of NSAIDs block both COX-1 and COX-2 enzymes?

  • First-generation NSAIDs (correct)
  • Neither first- nor second-generation NSAIDs
  • Second-generation NSAIDs
  • Both first- and second-generation NSAIDs

What is the mechanism of action of NSAIDs?

  • Chemotaxis to destroy inflammatory cells
  • Modulation of T-cell production
  • Blocking of COX enzymes (correct)
  • Inhibition of prostaglandin synthesis

Which type of NSAIDs is contraindicated in the setting of coronary artery bypass graft surgery?

  • Neither first- nor second-generation NSAIDs
  • First-generation NSAIDs
  • Second-generation NSAIDs
  • Both first- and second-generation NSAIDs (correct)

What is the prototype of propionic acid derivatives?

<p>Ibuprofen (B)</p> Signup and view all the answers

What is the onset of action of ibuprofen?

<p>1 hour (C)</p> Signup and view all the answers

Which of the following drugs have an additive analgesic effect with Ibuprofen?

<p>Codeine (A)</p> Signup and view all the answers

What is the maximum total daily dose of Ibuprofen that should not be exceeded?

<p>3200 mg (D)</p> Signup and view all the answers

Which of the following herbs or foods can increase the effects of Ibuprofen?

<p>All of the above (D)</p> Signup and view all the answers

How should Ibuprofen be administered intravenously?

<p>Diluted in 4 mg/mL concentration or less (C)</p> Signup and view all the answers

What should the nurse assess for when Ibuprofen is administered for pain?

<p>Pain (D)</p> Signup and view all the answers

Which of the following is NOT a potential adverse effect of morphine?

<p>Pupil dilation (C)</p> Signup and view all the answers

What is the main indication for morphine?

<p>Preventing or relieving acute or chronic pain (A)</p> Signup and view all the answers

Which receptor activation is responsible for the analgesic effects of morphine?

<p>Mu receptors (A)</p> Signup and view all the answers

In which patient population should morphine be used cautiously?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is a contraindication for morphine use?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is a contraindication for the use of ibuprofen?

<p>Allergy to NSAIDs (A)</p> Signup and view all the answers

What is the maximum daily dosage of ibuprofen for patients with hepatitis?

<p>2 g (A)</p> Signup and view all the answers

Which of the following is a potential adverse effect of ibuprofen?

<p>Dyspnea (C)</p> Signup and view all the answers

What should the nurse monitor for in older adults taking ibuprofen on a long-term basis?

<p>All of the above (D)</p> Signup and view all the answers

What is the recommended measure to prevent or minimize renal damage in patients taking ibuprofen?

<p>All of the above (D)</p> Signup and view all the answers

Which adverse effect is associated with the combined use of morphine and benzodiazepines?

<p>Excessive sedation (B)</p> Signup and view all the answers

Which route of administration is preferred for morphine in children?

<p>Intravenous (IV) (A)</p> Signup and view all the answers

What is the main goal of treatment in cases of acute morphine overdose?

<p>Restore and maintain adequate respiratory function (C)</p> Signup and view all the answers

What is the recommended method for assessing pain severity in patients receiving morphine?

<p>Using a visual analog or numeric scale (D)</p> Signup and view all the answers

What adverse effect should the nurse assess for in patients taking morphine?

<p>Cardiac rhythm disturbances (C)</p> Signup and view all the answers

Which of the following is a safety measure to prevent falls or other injuries when taking strong narcotic analgesics?

<p>Having bed rails up (B)</p> Signup and view all the answers

What is the recommended method of taking oral opioid analgesics?

<p>Taking with 6 to 8 ounces of water (B)</p> Signup and view all the answers

What is the potential risk of crushing or chewing long-acting tablets of opioid analgesics?

<p>Immediate release of the drug (D)</p> Signup and view all the answers

What is the recommended approach to managing constipation as a side effect of opioid analgesics?

<p>Taking a daily stool softener and a daily laxative (D)</p> Signup and view all the answers

What is the recommended action if severe adverse effects occur while taking opioid analgesics?

<p>Report to a health care provider (D)</p> Signup and view all the answers

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