A client had abdominal surgery this morning. The client is groggy but complaining of severe pain around the incision. What is the most important assessment data to consider before the nurse administers a dose of morphine sulfate to the client?
The client's respiratory rate
The appearance of the incision
The date of the clients last bowel movement
The client's pulse rate
The Correct Answer is A
A. morphine can cause respiratory depression
B. Not relevant to morphine administration
C. Important assessment but not priority
D. not directly related to morphine administration
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Warfarin reduces the activity of vitamin K to prevent excessive clot formation. Feverfew, garlic, and gingko can also reduce the activity of vitamin K or interfere with platelet function, which can make the blood thinner and harder to clot.
D. Saw Palmetto- Inhibits prostatic growth factors and is used for BPH
E. Used to promote formation of articular cartilage in osteoarthritis
Correct Answer is B
Explanation
B. Interleukin causes capillary leak syndrome which present as fluid retention, dyspnea and edema hence should be held.
A. Giving the drug will worsen the condition
C. Diphenhydramine cannot prevent capillary leak syndrome
D. Delaying the drug is inappropriate as it could worsen the condition of the client.
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