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    Ati Lpn Med Surg IV Therapy Proctored Exam

    A client asks the nurse why their pain relief was faster after receiving intravenous morphine compared to taking oral acetaminophen. Which of the following responses should the nurse make???

    Explanation & Rationale

    Rationale: A. While morphine does act on pain receptors, this statement does not explain why IV administration produces faster relief. The route of administration, not the mechanism of action, accounts for the difference in onset. B. Intravenous morphine bypasses the digestive system and enters the bloodstream immediately, which is correct. IV administration allows the medication to reach systemic circulation without first passing through the gastrointestinal tract or liver, resulting in rapid onset of action. This explains why IV morphine works faster than oral acetaminophen, which must be absorbed through the gut and metabolized before taking effect. C. Saying oral medications are slower because they are less effective is incorrect. The effectiveness of acetaminophen is not inherently less; the delay in onset is due to absorption and metabolism, not potency. D. Oral medications are not absorbed more quickly than IV medications. Oral drugs must pass through the digestive system and undergo first-pass metabolism in the liver, which slows onset. IV administration delivers medication directly into circulation, bypassing these delays.

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