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
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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Related Questions
Correct Answer is B
Explanation
A. Emphasizing the significance of the information may not address the cultural behavior of avoiding direct eye contact.
B. Continuing with the discussion respects the client's cultural behavior, as some cultures view direct eye contact as disrespectful.
C. Stopping the instructions to see what is on the floor may misunderstand the client's cultural behavior.
D. Moving closer for eye contact may make the client uncomfortable if their culture views direct eye contact as inappropriate.
Correct Answer is D
Explanation
A. Closed-ended questions may limit the information gathered from the client. Open-ended questions are more appropriate for exploring sensitive topics like STIs.
B. Referring a client to genetic counseling is not typically indicated solely based on a history of STIs.
C. A client's reproductive health history, including past and present STIs, is crucial for comprehensive counseling and treatment planning.
D. Asking about the client's exposure to past or present STIs is important for assessing risk factors, providing appropriate counseling, and guiding testing and treatment decisions.
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