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 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.

A. Oliguria B. Bradycardia C. Hypotension D. peripheral edema

Correct Answer is D

Explanation

Rationale- Peripheral edema, which is swelling typically in the arms and legs due to the accumulation of fluid, is a common finding in hypervolemia. This condition can also lead to symptoms such as bloating, rapid weight gain, and high blood pressure due to the increased fluid in the bloodstream. Hypervolemia causes the accumulation of excessive fluid in the tissues leading to edema

A,B,C- Oliguria, bradycardia, and hypotension are not typical findings associated with hypervolemia. Instead, they are features of hypovolemia

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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

A nurse is assessing a client who has hypokalemia as a result of nausea. vomiting, and diarrhea. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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