A nurse is assessing a client prior to the administration of morphine. The nurse should recognize that which of the following assessments is the priority?
Bowel sounds
Respiratory rate
Urine output
Pupil reaction
The Correct Answer is B
A. While morphine can affect bowel sounds by causing constipation, this is not the priority assessment before administration.
B. Respiratory rate is the priority assessment because morphine can cause respiratory depression, which is a life-threatening side effect.
C. Urine output is important to monitor for overall kidney function and hydration status but is not the immediate priority before administering morphine.
D. Pupil reaction can indicate opioid effects, but monitoring respiratory status is more critical.
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Related Questions
Correct Answer is D
Explanation
A. Acute pain typically causes an increase in blood pressure, not a decrease.
B. Acute pain often leads to decreased, not hyperactive, bowel sounds due to sympathetic nervous system activation.
C. Acute pain typically causes an increase in respiratory rate, not a decrease.
D. Increased heart rate is a common physiological response to acute pain due to the activation of the sympathetic nervous system.
Correct Answer is C
Explanation
A. Beclomethasone is an inhaled corticosteroid used for long-term control, not for acute attacks.
B. Formoterol is a long-acting beta-agonist, which is not intended for immediate relief of acute symptoms.
C. Albuterol is a short-acting beta-agonist (SABA) that is used for quick relief of acute asthma symptoms.
D. Salmeterol is also a long-acting beta-agonist and is not suitable for immediate relief of acute asthma attacks.
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