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 C
Explanation
A. Whole milk is safe and does not interact with MAOIs.
B. Sliced apples are safe and do not interact with MAOIs.
C. Bologna and other processed meats contain tyramine, which can cause a hypertensive crisis when consumed with MAOIs.
D. Celery sticks are safe and do not interact with MAOIs.
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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