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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Discontinuing music therapy when the client is no longer responsive is not necessary. Music therapy can continue to provide comfort and support even if the client is not responsive.
Choice B Reason:
"Music will distract my husband's awareness of the pain." This statement indicates an understanding of the potential benefits of music therapy for pain management. Music therapy can help distract individuals from their pain, reduce anxiety and stress, and enhance relaxation. It may not eliminate pain entirely but can provide a valuable complementary approach to pain management in hospice care.
Choice C Reason:
Playing music is not typically used to increase alertness in the context of pain management. Instead, it is often used to promote relaxation and reduce pain-related distress.
Choice D Reason:
Music therapy is not a replacement for medication in managing pain, especially breakthrough pain. Medication and music therapy can be used together as part of a comprehensive pain management plan in hospice care.
Correct Answer is B
Explanation
Choice A Reason:
Burying the body within 24 hours is not a common Hindu practice.
Choice B Reason:
To cremate the client's body is correct .Hinduism traditionally practices cremation as the preferred method of disposing of the deceased's body. The other options are not typically associated with Hindu funeral customs:
Choice C Reason:
Staying with the body for 8 hours following death is not a strict Hindu requirement, although family members may choose to stay with the body for a period of time.
Choice D Reason:
Prohibiting medical personnel from touching the body is not a common Hindu custom, although some families may prefer to handle the body themselves.
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