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</p> Signup and view all the answers

    What is the onset of action of ibuprofen?

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

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

    <p>Codeine</p> Signup and view all the answers

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

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

    How should Ibuprofen be administered intravenously?

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

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

    <p>Pain</p> Signup and view all the answers

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

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

    What is the main indication for morphine?

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

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

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

    In which patient population should morphine be used cautiously?

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

    Which of the following is a contraindication for morphine use?

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

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

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

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

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

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

    <p>Dyspnea</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</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</p> Signup and view all the answers

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

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

    Which route of administration is preferred for morphine in children?

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

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

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

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