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. Phenytoin should not be diluted with sterile water; it should be diluted with normal saline if needed.
B. Following the injection with sterile water is not recommended; normal saline should be used.
C. If the medication crystallizes, it should not be injected.
D. Administering phenytoin slowly over at least 1 minute is essential to reduce the risk of complications such as hypotension and cardiac arrhythmias.

A. Diazepam B. Disulfiram C. Methadone D. Buprenorphine

Correct Answer is A

Explanation

A. Diazepam is a benzodiazepine commonly used to manage symptoms of alcohol withdrawal.
B. Disulfiram is used to discourage alcohol consumption by causing adverse reactions when alcohol is consumed.
C. Methadone is used for opioid withdrawal, not alcohol withdrawal.
D. Buprenorphine is used for opioid dependence and withdrawal.

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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

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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