A patient who lives with migraines has been prescribed naproxen. The nurse should recognize that this drug achieves a therapeutic effect through which of the following means?
A) Demyelinizing pain fibers in the CNS
B) Selectively antagonizing opioid receptors in the CNS
C) Inhibiting the synthesis of COX-1 and COX-2
D) Slowing the reuptake of serotonin and acetylcholine in brain synapses
C
Feedback:
Naproxen is a nonselective inhibitor of cyclooxygenase resulting in the inhibition of prostaglandin synthesis of COX-1 and COX-2 . It does not involve serotonin, acetylcholine, or opioid receptors.
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A patient comes to the health clinic complaining of tremors and hyperexcitability. The nursing assessment reveals exophthalmos. The patient is exhibiting signs and symptoms of which of the following?
A) Hypothyroidism B) Hyperthyroidism C) Diabetes D) Adrenal gland tumor
A patient is on a cardiac medication and has been drinking alcohol every evening while watching television. On a visit to the clinic, the patient tells the nurse this information and asks if this is all right. What should be the nurse's response?
a. "Limit your alcohol use to 8 ounces a day with a meal." b. "Alcohol and drugs may alter the drug's ability to work." c. "There is no alteration with alcohol and drugs if you eat." d. "The effects of alcohol and drugs only alter sometimes."
A nurse is teaching a group of older adults about healthy aging. The nurse discusses global life-style risk factors for chronic disease. The nurse includes which of the following in the education? (Select all that apply.)
a. Smoking cessation and avoidance of to-bacco b. Maintenance of high levels of physical ac-tivity c. Importance of eating a balanced diet d. Development of advance directives e. Maintenance of blood pressure readings at a level of 120/80 or lower
The use of ECT is MOST effective in the treatment of which of the following diagnoses?
a. Alzheimer's b. depression c. catatonia d. schizophrenia