Practice Quiz

CRNE Exam Prep

Category - Changes in Health

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A client comes to the emergency department complaining of abrupt onset of midepigastric pain with radiation to the back. Cullen’s sign, Turner’s sign, abdominal guarding, decreased bowel sounds, and nausea and vomiting are documented. The client is diagnosed with acute pancreatitis. Which of the following medications is a physician most likely to prescibe to this client in order to relieve pain?
  1. Morphine sulfate
  2. Meperidine hydrochloride
  3. Codeine sulfate
  4. Neomycin
Explanation
Answer: B - Meperidine decreases smooth muscle spasm of the pancreatic ducts and the sphincter of Oddi. Although morphine and codeine do relieve pain, they can cause spasm of the sphincter of Oddi. Neomycin is an antibiotic that facilitates decreased secretion of ammonia.
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