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 D
Explanation
Demonstration is a measurable outcome. It allows the nurse to pick any errors in the performance of the task in real time and hence corrections can be made.
A, B and C are vague outcomes that are not feasible to measure.
Correct Answer is C
Explanation
C. anticholinergic effects include dry mouth, chewing the gum will help stimulate the salivary glands to secrete saliva.
A. Taking an antacid does not address the effects
B. Not relation with the anticholinergic effect of the drug
D. Fluphenazine cause sedation and should be taken in the morning but it does not address the anticholinergic effects
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