Morphine belongs to which category/class?
A. Non-opioid analgesic
B. Opioid agonist
C. Opioid antagonist
D. NSAID - Answers B. Opioid agonist
What is morphine's expected pharmacological action?
A. Blocks prostaglandin synthesis
B. Activates opioid receptors to alter pain perception
C. Inhibits serotonin reuptake
D. Stimulates the sympathetic nervous system - Answers B. Activates opioid receptors to alter pain
perception
What is a primary therapeutic use of morphine?
A. Mild headache
B. Chronic inflammation
C. Moderate to severe pain
D. Anxiety disorders - Answers C. Moderate to severe pain
Which complication is most concerning with morphine therapy?
A. Hypertension
B. Respiratory depression
C. Hyperglycemia
D. Diarrhea - Answers B. Respiratory depression
Which is the correct medication administration consideration for morphine?
A. Administer rapidly IV push
B. Monitor respiratory rate before giving
C. Give only with meals
D. Crush extended-release tablets - Answers B. Monitor respiratory rate before giving
Morphine is contraindicated or used cautiously in patients with:
A. Asthma or respiratory depression
B. Hypothyroidism
C. Diabetes mellitus
D. Hyperlipidemia - Answers A. Asthma or respiratory depression
Which nursing intervention is priority for a patient receiving morphine?
A. Encourage fluid intake
B. Monitor oxygen saturation
C. Assess bowel sounds weekly
D. Check blood glucose - Answers B. Monitor oxygen saturation
Which drug interaction increases the risk of morphine toxicity?
A. Acetaminophen
B. Benzodiazepines
C. Antacids
D. Iron supplements - Answers B. Benzodiazepines
Which client education is appropriate for morphine?
A. Drive immediately after dosing
B. Avoid alcohol use
C. Stop medication abruptly
D. Take extra doses if pain persists - Answers B. Avoid alcohol use
Which finding indicates morphine is effective?
A. Increased blood pressure
B. Decreased pain rating
C. Increased respiratory rate
D. Elevated temperature - Answers B. Decreased pain rating
Insulin regular belongs to which class?
A. Long-acting insulin
B. Rapid-acting insulin
C. Short-acting insulin
, D. Intermediate insulin - Answers C. Short-acting insulin
What is the expected pharmacological action of regular insulin?
A. Decreases insulin resistance
B. Facilitates cellular uptake of glucose
C. Stimulates glycogen breakdown
D. Inhibits hepatic insulin release - Answers B. Facilitates cellular uptake of glucose
What is a therapeutic use of regular insulin?
A. Basal glucose control
B. Diabetic ketoacidosis
C. Weight loss
D. Thyroid replacement - Answers B. Diabetic ketoacidosis
Which complication is most associated with insulin therapy?
A. Hypernatremia
B. Hypoglycemia
C. Hypertension
D. Bradycardia - Answers B. Hypoglycemia
Which administration route is unique to regular insulin?
A. Intramuscular
B. Oral
C. Intravenous
D. Inhalation - Answers C. Intravenous
Regular insulin should be used cautiously in patients with:
A. Renal impairment
B. GERD
C. Asthma
D. Hypothyroidism - Answers A. Renal impairment
Which nursing intervention is essential before administering insulin?
A. Check blood glucose
B. Assess lung sounds
C. Measure intake and output
D. Check temperature - Answers A. Check blood glucose
Which interaction increases risk of hypoglycemia?
A. Beta-blockers
B. Corticosteroids
C. Thiazide diuretics
D. Oral contraceptives - Answers A. Beta-blockers
Which client education is correct for insulin therapy?
A. Skip meals after injection
B. Rotate injection sites
C. Massage injection site
D. Store insulin in heat - Answers B. Rotate injection sites
Which finding indicates insulin effectiveness?
A. Elevated ketones
B. Decreased blood glucose
C. Increased urine output
D. Increased appetite - Answers B. Decreased blood glucose
Insulin NPH is classified as:
A. Short-acting
B. Intermediate-acting
C. Long-acting
D. Rapid-acting - Answers B. Intermediate-acting
What is the expected pharmacological action of NPH insulin?
A. Provides basal insulin without peak
B. Slows carbohydrate absorption
C. Regulates glucose over extended hours with a peak
D. Increases insulin resistance - Answers C. Regulates glucose over extended hours with a peak
What is a therapeutic use of NPH insulin?