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. An allergic response typically presents with symptoms such as rash, itching, and swelling, not severe nausea and vomiting.
B. Disulfiram causes severe nausea and vomiting when alcohol is consumed, as part of its mechanism to deter drinking.
C. Severe nausea and vomiting are not common side effects unless alcohol is consumed.
D. Overdose might cause more severe systemic effects, not just nausea and vomiting.
Correct Answer is C
Explanation
A. Returning the medication to the pharmacy is not the immediate appropriate action.
B. Giving expired medication can be unsafe and ineffective.
C. Discarding the medication is the correct action to ensure patient safety.
D. Notifying the provider is unnecessary for the immediate action needed to ensure patient safety; discarding the expired medication is the correct step.
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