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 C
Explanation
C. nasal decongestants cause vasoconstriction to reduce blood flow and secretions. On wearing off, the vessels dilate causing rebound nasal congestion
A. Oral formulation is less potent
B. Oral formulation have longer duration of effect that could cause systemic side effects
D. nasal sprays have immediate action as they bypass metabolism
Correct Answer is C
Explanation
C. Heparin is an indirect thrombin inhibitor that prevents clot formation. It does not dissolve existing clots.
A. The onset of action of heparin is immediate
B. The oral anticoagulants also don’t dissolve the clot
D. The nurse should also understand the pharmacology of the drugs she or he is administering.
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