What is a high alert nursing implication for Morphine?

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ATI Pharmacology Made Easy 4.0 Questions

Question 1 of 5

What is a high alert nursing implication for Morphine?

Correct Answer: B

Rationale: The high alert nursing implication for Morphine is to assess the level of consciousness, blood pressure, pulse, and respiration. Morphine is a potent opioid analgesic that can cause respiratory depression, sedation, and hypotension as side effects. Monitoring the patient's vital signs and neurological status is crucial to detect any signs of overdose or adverse reactions promptly. Maintaining vigilant observation of these parameters can help prevent serious complications and ensure the safe administration of Morphine.

Question 2 of 5

All are peripheral mediators of pain, except:

Correct Answer: D

Rationale: Peripheral mediators of pain can sensitize nociceptors and contribute to the perception of pain. Histamine, bradykinin, and prostaglandins are all examples of peripheral mediators that can induce pain. Amino acids, on the other hand, are not typically considered peripheral mediators of pain. While amino acids are important for many physiological processes in the body, they are not generally associated with the direct modulation of pain signaling pathways in the periphery.

Question 3 of 5

A patient is taking aspirin for secondary prevention of myocardial infarction and is experiencing moderate gastrointestinal upset. The nurse will contact the patient™s provider to discuss changing from aspirin to which of the following?

Correct Answer: D

Rationale: Coated aspirin refers to enteric-coated aspirin, which is a type of aspirin that has a special coating designed to help protect the stomach lining and reduce gastrointestinal upset. Unlike regular aspirin, enteric-coated aspirin is less likely to cause irritation to the stomach and therefore may be a better option for patients experiencing gastrointestinal issues. Switching to coated aspirin can help alleviate the patient's symptoms while still providing the antiplatelet benefits needed for secondary prevention of myocardial infarction. It is important for the nurse to communicate with the provider to discuss this alternative option and ensure the patient's safety and well-being.

Question 4 of 5

Which instruction is important for the nurse to include when teaching a patient about imatinib therapy?

Correct Answer: A

Rationale: Grapefruit juice can inhibit the metabolism of imatinib, leading to increased drug levels and a higher risk of side effects. Patients should be advised to avoid grapefruit juice while on imatinib therapy. Headaches are not typically an emergency unless severe or accompanied by other symptoms. Imatinib is a long-term treatment, not one that stops working after 2 months. Taking the drug on an empty stomach is not required; it can be taken with food to reduce gastrointestinal side effects.

Question 5 of 5

Which drug is most useful to prevent and treat cerumen impaction?

Correct Answer: A

Rationale: Hydrogen peroxide is commonly used to soften and remove cerumen (earwax) impaction due to its effervescent properties, which help break down the wax. Rubbing alcohol (B) is used for drying the ear canal but is not effective for cerumen impaction. Charcoal (C) and clove oil (D) are not used for this purpose.

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