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 ["675"]

Explanation

- 198 lb ÷ 2.205 lb/kg = 90 kg
Calculate the total daily dose:
- 15 mg/kg/day * 90 kg = 1350 mg/day
Calculate the dose for each 12-hour period:
- 1350 mg/day ÷ 2 doses/day = 675 mg/dose

A. Give the ordered KCL as prescribed. B. Call the prescribing physician and inform her of the client's serum potassium level results. C. Call the lab to verify the client's results. D. Omit the KCL dose and document it was not given.

Correct Answer is B

Explanation

A potassium level of 6.0 mEq/L is considered to be mild hyperkalemia. Hyperkalemia can be dangerous and usually requires immediate treatment, especially if it is accompanied by symptoms or significant changes from the client's baseline. The appropriate action would be to inform the prescribing physician of the client's serum potassium level to receive further instructions, which may include omitting the dose or adjusting the treatment plan.

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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 preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer With each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. DO not use a trailing zero.)

Correct Answer is ["675"]

Explanation

A nurse is caring for a client who has a prescription for potassium chloride (KCL) 20 mEq PO daily. The nurse reviews the client's most recent laboratory results and finds the client's potassium level is 6.0 mEq/L Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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