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

Answer and Explanation

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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Correct Answer is D

Explanation

A. Administering a bolus dose of morphine at PCA initiation is a common practice.
B. Monitoring the frequency of button presses and understanding the lockout period is appropriate.
C. Educating the family not to push the PCA button is correct and ensures patient safety.
D. Discarding the remaining medication should be witnessed and documented correctly, but the process should follow the institution’s protocol, and witnessing should have been done before discarding, not after.

A. Weight gain B. Bradycardia C. Dependent edema D. Nightmares

Correct Answer is A

Explanation

A. Weight gain is a common side effect of risperidone due to its impact on metabolism and appetite.
B. Bradycardia is not typically associated with risperidone.
C. Dependent edema is not a common side effect of risperidone.
D. Nightmares are not specifically linked to risperidone use.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is supervising a newly licensed nurse provide care for a client who has a PCA pump. Which of the following statements made by the nurse requires further action by the charge nurse?

Correct Answer is D

Explanation

A nurse is assessing a client who has schizophrenia and is taking risperidone. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

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