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 B

Explanation

A. Teaching foot care to a client with diabetes is an example of tertiary prevention, which aims to manage and improve quality of life for individuals with chronic diseases.
B. Performing monthly breast self-examinations is an example of secondary prevention, which involves early detection of diseases to provide timely treatment.
C. Providing a community program on stress reduction is an example of primary prevention, which aims to prevent disease before it occurs.
D. Referring a client to a support group after a mastectomy is an example of tertiary prevention, focusing on rehabilitation and support after a significant health event.

A. Positions the wrapped package on the bedside table so the outer flap is away from her. B. Holds gauze packages 15 cm (6 in) above the sterile field. C. Holds a bottle of solution with the label away from the palm of the hand. D. Wears sterile gloves when moving sterile items on the sterile field.

Correct Answer is B

Explanation

A. Positioning the wrapped package with the outer flap away helps maintain sterility when opening.
B. Holding gauze packages 15 cm (6 in) above the sterile field is incorrect; sterile items should be held at least 15 cm (6 in) above the sterile field to maintain sterility.
C. Holding a bottle of solution with the label away from the palm helps prevent contamination.
D. Wearing sterile gloves when handling sterile items on the sterile field helps maintain sterility.

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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

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