ATI RN
ATI Nurs 180 Pharmacology Quiz Questions
Extract:
Question 1 of 5
A client has been newly prescribed with morphine sulfate (Astramorph) for severe acute pain after seeing the physician for a follow-up appointment. However, the nurse noted that the client has a history of biliary colic. What is an alternative to morphine sulfate (Astramorph) for this client?
Correct Answer: C
Rationale: The correct answer is C: Meperidine (Demerol). Meperidine is a suitable alternative to morphine sulfate for a client with a history of biliary colic because it has a lower risk of causing biliary spasm compared to morphine. Biliary colic involves spasms and pain in the bile ducts, and morphine can exacerbate these spasms due to its effects on smooth muscle. Meperidine, on the other hand, has a different chemical structure and is less likely to cause biliary spasms.
Choice A (Morphine - MS Contin) is incorrect because morphine, in any form, can still potentially worsen biliary colic due to its effects on smooth muscle.
Choice B (Acetaminophen - Tylenol) is not a suitable alternative for severe acute pain as it is not as potent as opioids.
Choice D (Naloxone - Narcan) is incorrect as it is an opioid antagonist used for
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: