A nurse is caring for a client who received a dose of IV morphine for pain. Which of the following vital signs indicates the client is having an adverse reaction to the medication?
Blood pressure 140/86 mm Hg
Temperature 37.50 C (99.50 F)
Heart rate 65/min
Respiratory rate 10/min
The Correct Answer is D
Respiratory rate of 10/min indicates respiratory depression which a potential adverse effect of morphine. Opioids suppress the central respiratory centers leading to respiratory depression. Use of two opioids increases their levels in blood raising the risk of respiratory depression even higher which is fatal.
A.- Elevated blood pressure is not directly related to morphine use . Could be an indication of pain
B.-Normal temperature
C.-Normal heart rate
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Reduced respiratory rate and absence of deep tendon reflexes are an indicator of magnesium sulfate toxicity. Calcium competitively binds on the magnesium sulphate receptors to lower the toxicity effect
A- Methylergonovine is a uterotonic C-Naloxone is used for opioids toxicity D-Dexamethasone is not an antidote
Correct Answer is A
Explanation
PT measures the time it takes for blood to clot, and it is particularly relevant for clients taking warfarin because warfarin works by inhibiting the synthesis of certain clotting factors, including factors II, VII, IX, and X, which are involved in the PT pathway. Monitoring PT levels helps ensure that the client is receiving an appropriate dose of warfarin to prevent clot formation without causing excessive bleeding.
B. Total iron-binding capacity (TIBC) is a test used to assess iron levels in the blood and is unrelated to warfarin therapy.
C. WBC (White Blood Cell count) is a test used to assess the number of white blood cells in the blood and is unrelated to warfarin therapy.
D. PTT (Partial Thromboplastin Time) is a test used to evaluate the intrinsic and common pathways of the coagulation cascade. It is used in the monitoring of heparin anticoagulant therapy. It is not typically used to monitor warfarin therapy
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