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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Cromolyn is not a rescue medication; it is used for maintenance and prevention, not immediate relief.
B. Albuterol, a bronchodilator, should be taken before cromolyn to open the airways and allow better absorption of the cromolyn.
C. While spacing out the medications is important, using albuterol first is the key point.
D. Using both medications immediately after exercising is not typically recommended unless prescribed, especially since cromolyn is not for acute relief.
Correct Answer is D
Explanation
A. Checking the pulse is not necessary for inhaled beclomethasone.
B. Taking the medication with meals is not necessary for inhaled beclomethasone.
C. Limiting caffeine intake is not relevant to the use of inhaled beclomethasone.
D. Rinsing the mouth after administration is crucial to prevent oral candidiasis, a common side effect of inhaled corticosteroids like beclomethasone.
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