A nurse is administering morphine 2 mg IV every 2 to 4 hr to a client who has an abdominal incision. The nurse should monitor the client for which of the following adverse effects?

Hiccups

Heartburn

Orthostatic hypotension

Diarrhea

Answer and Explanation

The Correct Answer is C

A. Hiccups are not a common adverse effect of morphine.
B. Heartburn is not a common adverse effect of morphine.
C. Orthostatic hypotension is a known adverse effect of morphine due to its potential to cause vasodilation and lower blood pressure, especially when the client changes positions.
D. Diarrhea is not a common adverse effect of morphine; constipation is more likely.

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Correct Answer is A

Explanation

Rationale:
A. Furosemide is a loop diuretic that helps to lower potassium levels, making it appropriate for a client with hyperkalemia (potassium level of 5.3 mEq/L).
B. Potassium iodide would further increase potassium levels, which is contraindicated in this situation.
C. Digoxin does not directly affect potassium levels and could be dangerous in the context of hyperkalemia.
D. Lisinopril is an ACE inhibitor that can increase potassium levels, which would not be appropriate for this client.

A. Check the client's motor strength. B. Loosen the clothing around the client's waist. C. Turn the client's head to the side. D. Document the time the seizure began.

Correct Answer is C

Explanation

A. Checking the client's motor strength is important after the seizure has ended to assess for any postictal weakness.
B. Loosening clothing can be done after ensuring the client's safety during the seizure.
C. Turning the client's head to the side helps prevent aspiration and ensures a clear airway during the seizure.
D. Documenting the time the seizure began is important for accurate medical record-keeping but is not the first action during an active seizure.

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A nurse is administering morphine 2 mg IV every 2 to 4 hr to a client who has an abdominal incision. The nurse should monitor the client for which of the following adverse effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client whose serum potassium level is 5.3 mEq/L. Which of the following scheduled medications should the nurse plan to administer?

Correct Answer is A

Explanation

A nurse is in a client's room when the client begins having a tonic-clonic seizure. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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