A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?

Stevens-Johnson syndrome

Hypertension

Prolonged wound healing

Bradypnea

Answer and Explanation

The Correct Answer is D

A.   Stevens-Johnson syndrome is a severe, rare, and potentially life-threatening reaction that can occur as a hypersensitivity reaction to certain medications. However, it is not typically associated with morphine use.
B.   Morphine is more commonly associated with hypotension rather than hypertension. Therefore, while monitoring for changes in blood pressure is important, hypertension is not a primary concern with morphine administration.
C.   Morphine use is not typically associated with prolonged wound healing. However, it can cause respiratory depression, which can indirectly affect wound healing by reducing tissue oxygenation.
D.   Morphine is a potent opioid analgesic that can cause respiratory depression, leading to bradypnea (slow breathing) or even respiratory arrest. Monitoring respiratory rate is crucial when administering morphine to detect signs of respiratory depression early and intervene promptly.

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Correct Answer is B

Explanation

A. No head lag when pulled to a sitting position is a normal finding at 4 months of age.
B. They should not have doll's eye reflex intact, which means that their eyes move in the opposite direction of their head when turned. This reflex normally disappears by 3 months of age and its persistence may indicate brain damage.
C. The presence of tears when crying is a normal finding at 4 months of age.
D. They should also have positive Babinski reflex, which means that their toes fan out when their sole is stroked. This reflex normally disappears by 12 months of age.

A. Creatinine 0.3 mg/dL (0.2 to 0.5 mg/dL) B. BUN 12 mg/dL (5 to 18 mg/dL) C. Creatinine 1.4 mg/dL (0.2 to 0.5 mg/dL) D. BUN 6 mg/dL (5 to 18 mg/dL) E. BUN 6 mg/dL (5 to 18 mg/dL)

Correct Answer is C

Explanation

A) The creatinine level is within the normal range.
B) The BUN level is within the normal range.
C) An elevated creatinine level suggests impaired kidney function, which could be a sign of nephrotoxicity from gentamicin.
D) The BUN level is within the normal range.

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A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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