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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Montelukast should be administered daily in the evening due to its side effects such as drowsiness. However, when used to relieve exercise-induced bronchospasms it should be administered 2 hours before exercise.
B. Montelukast should be taken regularly as a maintenance medication, not for acute symptoms.
C. The granules can be mixed with a small amount of soft food, but not with 20 oz of water.
D. Montelukast is usually given once daily in the evening for the prevention of asthma symptoms.
Correct Answer is C
Explanation
A. Potassium levels are important but not directly influenced by lithium.
B. Vitamin C is important for overall health but not specifically related to lithium therapy.
C. Sodium intake is crucial because low sodium levels can increase lithium toxicity, while high sodium levels can reduce lithium effectiveness.
D. Vitamin K is important for blood clotting but not related to lithium therapy.
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