Author Question: The nurse understands that the first-line drug for the relief of ischemic chest pain associated with ... (Read 16 times)

Alainaaa8 · **on:** Jul 24, 2018

The nurse understands that the first-line drug for the relief of ischemic chest pain associated with an acute myocardial infarction is:

a. fentanyl citrate c. hydromorphone HCl
b. methadone d. morphine sulfate

Question 2

All of the following statements are true about propoxyphene HCl (Darvon) except:

a. Its use may result in dizziness, sedation, and nausea.
b. Psychological and physical dependency never occur with propoxyphene HCl (Darvon) use.
c. Clients using propoxyphene HCl (Darvon) should avoid using central nervous system depressants.
d. Persons known to be substance abusers or suicidal should be monitored carefully while using this drug.

Ahernandez18 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: D

Feedback
A Incorrect: This is not the drug of choice for MI pain.
B Incorrect: This is not the drug of choice for MI pain.
C Incorrect: This is not the drug of choice for MI pain.
D Correct: Morphine is a potent analgesic, but also increases vascular capacity and decreases vascular resistance, as well as increasing the ease of breathing through bronchodilation.

Answer to Question 2

ANS: B

Feedback
A Incorrect: These are adverse effects of propoxyphene HCl.
B Correct: As an opioid agonist, propoxyphene can cause psychological and physical dependency. It is a Schedule IV narcotic.
C Incorrect: CNS depressants should be avoided when taking opioid agonists.
D Incorrect: This is true of propoxyphene HCl.