A nurse is assessing a client 15 min after administering morphine sulfate 2 mg via IV push. The nurse should identify which of the following findings as an adverse effect f the medication?

Respiratory rate 8/min

sa02 94%

Pain level of 6 on a scale from 0 to 10

Sleepy, but arousing when her name is called

Answer and Explanation

The Correct Answer is A

Morphine sulfate, an opioid analgesic, can cause serious side effects including lifethreatening respiratory depression. A normal respiratory rate for adults is typically between 12 to 16 breaths per minute. A rate of 8 breaths per minute is considered abnormally low and can be indicative of respiratory depression, which is a serious risk associated with opioid medications like morphine sulfate. It's important for healthcare providers to monitor clients closely after administering opioids to manage any potential adverse effects promptly.

B-SaO2 is not a direct indicator of central respiratory depression

C-Pain relief is expected as it is an analgesic

D-Morphine can cause sedation which is okay after respiratory depression has been ruled out

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Correct Answer is D

Explanation

The lab value that should be reported to the provider is D. Sodium 126 mEq/L. Normal sodium levels are typically between 135 and 145 mEq/L. A sodium level of 126 mEq/L is considered hyponatremia, which is a lower-than-normal concentration of sodium in the blood. Hyponatremia can have various causes and may result in symptoms such as headache, confusion, seizures, and other serious health issues.

A-Normal magnesium levels – 1.7-2.2 mEq/L

B-Normal potassium levels- 3.5-5.5mEq/L

C-Normal chloride levels- 96-106 mEq/L

A. A Extreme thirst B. B Hyperactive bowel sounds C. C Weak, irregular pulse D. D Hyperactive reflexes

Correct Answer is C

Explanation

Hypokalemia, a condition characterized by low levels of potassium in the blood, can manifest in various clinical signs and symptoms including a weak, irregular pulse. Potassium plays a crucial role in cardiac function, and its deficiency can lead to arrhythmias or abnormal heart rhythms, which may present as a weak or irregular pulse. potassium is vital for heart contractility. Deficiency leads to arrhythmias presenting as a weak irregular pulse

A, B-Extreme thirst is more commonly associated with hypernatremia or high levels of sodium, while hyperactive bowel sounds could be indicative of gastrointestinal distress but are not specific to hypokalemia.

D-Hyperactive reflexes are not typically associated with low potassium levels but rather with other electrolyte imbalances.

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A nurse is assessing a client 15 min after administering morphine sulfate 2 mg via IV push. The nurse should identify which of the following findings as an adverse effect f the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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