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

Rationale- When administering morphine intravenously, it is essential to have an opioid antagonist available to reverse the effects of opioids in case of an overdose or adverse reaction. Naloxone is the medication typically used for this purpose. It can quickly reverse the effects of morphine, making it an essential safety measure during opioid administration.

A Neostigmine is used to reverse the effects of certain muscle relaxants,

B Protamine is used to reverse the effects of heparin, and

D Flumazenil is used to reverse the effects of benzodiazepines, none of which are relevant in the context of morphine administration.

D-Flumazenil is an antidote for benzodiazepine

A. Omit the KCL dose and document that it was not given. B. Hold the prescribed dose and notify the provider of the serum potassium level. C. Give the ordered KCL as prescribed. D. Call the lab to verify the client's results.

Correct Answer is C

Explanation

A serum potassium level of 3.2 mEq/L is considered low, as normal potassium levels are typically between 3.5 and 5.0 mEq/L. When a client has hypokalemia (low potassium), administering potassium chloride (KCl) can help to correct the imbalance. It is important for the nurse to follow hospital protocols and guidelines when administering medications, especially those that can affect electrolyte balance.

A-Holding the KCL in inappropriate as it is needed from the indicated levels

B-The KCL should not be held as the client needs it

D-Hypokalemia is expected in loop diuretics therapy due to renal losses of potassium

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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 morphine IV to a client. Which of the following medications should the nurse plan to have available?

Correct Answer is C

Explanation

A nurse is preparing to administer potassium chloride (KCL) to a client who is receiving diuretic therapy. The nurse reviews the client's serum potassium level results and discovers the client's potassium level is 3.2 mEq/L. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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