Nur221 Unit 1 UPDATED ACTUAL Exam
Questions and CORRECT Answers
Morphine - CORRECT ANSWER - Avinza, Depodur, Embeda
Classification: Analgesic, Narcotic (Opiate agonist)
Dosages:
Tablet: 10, 15, 30, mg
Controlled release tablets: 10,15,20,30,50,60,90,100,120,200, mg
Oral: 10mg/2.5mL, 10mg/ 5mL, 20mg/mL, 20 mg/5mL, 30mg/1.5mL,100mg/5mL
Injectables: 0.5,1,2,4,5,8,10,15,25,50 mg/mL
XR lysosomal injection: 10mg/mL
Suppositories: 5,10,20,30 mg
Actions: relief of severe acute and chronic pain after non analgesics have failed. Relieve dyspnea
of acute left ventricular failure and pulmonary edema and pain of MI
Contraindications: hypersensitivity to opiate agonists, increased intracranial pressure, convulsive
disorders, acute bronchial asthma, respiratory depression, hypovolemia,
Nursing Implications: obtain baseline RR, depth, rhythm, and size of pupils before admin of
drug. RR of 12/min or lower and miosis are signs of toxicity. Withhold drug and call physician.
Continue monitoring respiratory depression for 24 hours. Assess vitals at regular intervals.
Fentanyl - CORRECT ANSWER - entanyl; Actiq Oralet, Duragesic, Fentora, Ionsys,
Onsolis, Sublimaze
Classification: Analgesic; Narcotic (opiate agonist)
Dosages:
Tablet-100,200,300,400, 600,800 mcg
Lozenge- 100.200.300.400 mcg
Lozenge (stick)-200,400,600,800,1200,1600 mcg
Injectables-0.05 mg/mL
Patch- 12,25,50,75,100 mcg/h
Buccal Film-0.2,0.4,0.6,0.8,1.2 mg
, Uses: Short acting analgesic during operative and perioperative periods, used in open heart
surgery
Contraindications: Pt who have received MAO inhibitors, substance abuse, myasthenia gravis,
L&D, pregnancy
Nursing Implications:
Monitor vital signs,observe for skelatal and thoracic muscle rigidity and weakness. Respiratory
depression
Beta-Blockers - CORRECT ANSWER - -lol
Side effects:
-Orthostatic hypotension, bradycardia, nausea and vomiting, diarrhea and some of the symptoms
may mask hypoglycemic symptoms.
Nursing Interventions for Clients taking beta blockers: -Make sure that you monitor the client's
blood pressure, heart rate and rhythm, before administering the beta blocker. Monitor the client
for signs of edema. The nurse should also assess the lungs sounds for signs of rales and ronchi.
When patient are taking beta blockers, it is also very important to monitor the changes in lab
values such as (protien, BUN and creatinine) which can indicate nephrotic syndrome. Nursing
teaching for the NCLEX would include: Teaching the Client to rise slowly (Orthostatic
Hypotension) * (a safety ISSUE), report any signs of bradycardia, dizziness, confusion
depression or fever. It is also very important to taper off the medication properly.
- Decrease myocardial O2 requirements
Decrease heart rate
Decrease force of contraction
Decrease rate of conduction
Examples include: Metoprolol, Atenolol, Carvedolol
Monitor: Vital Signs, Medication Interactions
Questions and CORRECT Answers
Morphine - CORRECT ANSWER - Avinza, Depodur, Embeda
Classification: Analgesic, Narcotic (Opiate agonist)
Dosages:
Tablet: 10, 15, 30, mg
Controlled release tablets: 10,15,20,30,50,60,90,100,120,200, mg
Oral: 10mg/2.5mL, 10mg/ 5mL, 20mg/mL, 20 mg/5mL, 30mg/1.5mL,100mg/5mL
Injectables: 0.5,1,2,4,5,8,10,15,25,50 mg/mL
XR lysosomal injection: 10mg/mL
Suppositories: 5,10,20,30 mg
Actions: relief of severe acute and chronic pain after non analgesics have failed. Relieve dyspnea
of acute left ventricular failure and pulmonary edema and pain of MI
Contraindications: hypersensitivity to opiate agonists, increased intracranial pressure, convulsive
disorders, acute bronchial asthma, respiratory depression, hypovolemia,
Nursing Implications: obtain baseline RR, depth, rhythm, and size of pupils before admin of
drug. RR of 12/min or lower and miosis are signs of toxicity. Withhold drug and call physician.
Continue monitoring respiratory depression for 24 hours. Assess vitals at regular intervals.
Fentanyl - CORRECT ANSWER - entanyl; Actiq Oralet, Duragesic, Fentora, Ionsys,
Onsolis, Sublimaze
Classification: Analgesic; Narcotic (opiate agonist)
Dosages:
Tablet-100,200,300,400, 600,800 mcg
Lozenge- 100.200.300.400 mcg
Lozenge (stick)-200,400,600,800,1200,1600 mcg
Injectables-0.05 mg/mL
Patch- 12,25,50,75,100 mcg/h
Buccal Film-0.2,0.4,0.6,0.8,1.2 mg
, Uses: Short acting analgesic during operative and perioperative periods, used in open heart
surgery
Contraindications: Pt who have received MAO inhibitors, substance abuse, myasthenia gravis,
L&D, pregnancy
Nursing Implications:
Monitor vital signs,observe for skelatal and thoracic muscle rigidity and weakness. Respiratory
depression
Beta-Blockers - CORRECT ANSWER - -lol
Side effects:
-Orthostatic hypotension, bradycardia, nausea and vomiting, diarrhea and some of the symptoms
may mask hypoglycemic symptoms.
Nursing Interventions for Clients taking beta blockers: -Make sure that you monitor the client's
blood pressure, heart rate and rhythm, before administering the beta blocker. Monitor the client
for signs of edema. The nurse should also assess the lungs sounds for signs of rales and ronchi.
When patient are taking beta blockers, it is also very important to monitor the changes in lab
values such as (protien, BUN and creatinine) which can indicate nephrotic syndrome. Nursing
teaching for the NCLEX would include: Teaching the Client to rise slowly (Orthostatic
Hypotension) * (a safety ISSUE), report any signs of bradycardia, dizziness, confusion
depression or fever. It is also very important to taper off the medication properly.
- Decrease myocardial O2 requirements
Decrease heart rate
Decrease force of contraction
Decrease rate of conduction
Examples include: Metoprolol, Atenolol, Carvedolol
Monitor: Vital Signs, Medication Interactions
