A nurse is caring for a client who is receiving morphine for pain. Which of the following findings indicates that the client is experiencing an adverse effect of the medication?
Hypertension
Lacrimation
Tachycardia
Urinary retention
The Correct Answer is D
Choice A Reason:
Hypertension (high blood pressure) is not a common adverse effect of morphine. Opioid medications are more likely to cause hypotension (low blood pressure).
Choice B Reason:
Lacrimation (excessive tearing) is not a typical adverse effect of morphine. Opioids can cause dry mouth and decreased tear production.
Choice C Reason:
Tachycardia (rapid heart rate) is not a common adverse effect of morphine. Morphine and other opioids are more likely to cause bradycardia (slow heart rate) or a decrease in heart rate.
Choice D Reason:
Urinary retention is an adverse effect associated with opioid medications like morphine. Opioids can cause relaxation of smooth muscles, including those in the urinary bladder, which can lead to difficulty or inability to urinate.
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Related Questions
Correct Answer is C
Explanation
A. Members of a health care team can share a computer password:
- Sharing computer passwords compromises security and violates client privacy. Each team member should have their unique login credentials for secure access.
B. A client is restricted from accessing his own medical records:
- Clients typically have rights to access their own medical records. Restricting their access without valid legal reasons violates their privacy rights.
C. Information regarding client health can be e-mailed if encrypted:
- This statement addresses the importance of secure electronic communication. Sending client health information via email should be done using encrypted methods to maintain confidentiality and prevent unauthorized access.
D. Unwanted printed health information can be discarded in a trash can:
- Disposing of health information in an unsecured manner, such as discarding it in a trash can, can lead to breaches of privacy. Proper disposal methods, such as shredding or using secure disposal bins, should be followed to maintain confidentiality.
Correct Answer is B
Explanation
Choice A Reason:
Contact precautions are not sufficient for tuberculosis (TB), which is an airborne infection. Instead, airborne precautions should be initiated.
Choice B Reason:
Increasing the client's daily intake of vitamin D may be considered as a complementary measure to support the immune system.
Choice C Reason:
Performing tuberculin skin testing (TST) is a diagnostic test for TB but is typically not included in the plan of care for a newly admitted client with confirmed TB.
Choice D Reason:
Placing the client in a positive-pressure isolation room is not the recommended isolation method for clients with TB. Negative-pressure isolation rooms help prevent the spread of infectious airborne diseases like TB.
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