30 Questions
Which type of NSAIDs block both COX-1 and COX-2 enzymes?
First-generation NSAIDs
What is the mechanism of action of NSAIDs?
Blocking of COX enzymes
Which type of NSAIDs is contraindicated in the setting of coronary artery bypass graft surgery?
Both first- and second-generation NSAIDs
What is the prototype of propionic acid derivatives?
Ibuprofen
What is the onset of action of ibuprofen?
1 hour
Which of the following drugs have an additive analgesic effect with Ibuprofen?
Codeine
What is the maximum total daily dose of Ibuprofen that should not be exceeded?
3200 mg
Which of the following herbs or foods can increase the effects of Ibuprofen?
All of the above
How should Ibuprofen be administered intravenously?
Diluted in 4 mg/mL concentration or less
What should the nurse assess for when Ibuprofen is administered for pain?
Pain
Which of the following is NOT a potential adverse effect of morphine?
Pupil dilation
What is the main indication for morphine?
Preventing or relieving acute or chronic pain
Which receptor activation is responsible for the analgesic effects of morphine?
Mu receptors
In which patient population should morphine be used cautiously?
All of the above
Which of the following is a contraindication for morphine use?
All of the above
Which of the following is a contraindication for the use of ibuprofen?
Allergy to NSAIDs
What is the maximum daily dosage of ibuprofen for patients with hepatitis?
2 g
Which of the following is a potential adverse effect of ibuprofen?
Dyspnea
What should the nurse monitor for in older adults taking ibuprofen on a long-term basis?
All of the above
What is the recommended measure to prevent or minimize renal damage in patients taking ibuprofen?
All of the above
Which adverse effect is associated with the combined use of morphine and benzodiazepines?
Excessive sedation
Which route of administration is preferred for morphine in children?
Intravenous (IV)
What is the main goal of treatment in cases of acute morphine overdose?
Restore and maintain adequate respiratory function
What is the recommended method for assessing pain severity in patients receiving morphine?
Using a visual analog or numeric scale
What adverse effect should the nurse assess for in patients taking morphine?
Cardiac rhythm disturbances
Which of the following is a safety measure to prevent falls or other injuries when taking strong narcotic analgesics?
Having bed rails up
What is the recommended method of taking oral opioid analgesics?
Taking with 6 to 8 ounces of water
What is the potential risk of crushing or chewing long-acting tablets of opioid analgesics?
Immediate release of the drug
What is the recommended approach to managing constipation as a side effect of opioid analgesics?
Taking a daily stool softener and a daily laxative
What is the recommended action if severe adverse effects occur while taking opioid analgesics?
Report to a health care provider
Test your knowledge on the effects of morphine and its activation of mu receptors. Learn about analgesia, CNS depression, respiratory depression, sedation, euphoria, decreased GI motility, and physical dependence.
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