A nurse is collecting data from a client who received IV morphine for postoperative pain. The nurse should identify that which of the following findings indicates a therapeutic response to the medication?

The client's blood pressure has been reduced.

The client exhibits diaphoresis.

The client is grimacing.

The client has an elevated heart rate.

Answer and Explanation

The Correct Answer is A

A.   This is the correct answer. Reduction in blood pressure is a common therapeutic response to morphine administration. Morphine acts as a vasodilator, which can lead to decreased blood pressure.
B.   Diaphoresis, or sweating, is not necessarily a therapeutic response to morphine. It may indicate other physiological responses or side effects.
C.   Grimacing suggests pain or discomfort, which is not a therapeutic response but rather an indication that the pain relief from morphine may not be sufficient.
D.   An elevated heart rate is not typically a therapeutic response to morphine and may indicate pain, anxiety, or other factors.

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Correct Answer is D

Explanation

A. Incorrect. Pinching the infant's nares can cause distress and may not effectively prevent aspiration.
B. Incorrect. Administering the whole dose at once increases the risk of the infant choking or aspirating the medication.
C. Incorrect. Holding the infant in a side-lying position may not effectively prevent aspiration and may increase the risk of choking.
D. Correct. Administering the medication using a needleless syringe in the buccal cavity allows for slow and controlled administration, reducing the risk of aspiration. This method also minimizes the chance of the infant gagging or spitting out the medication.

A. Increased heart rate B. Increased cardiac output C. Decreased urinary output D. Decreased potassium level

Correct Answer is B

Explanation

A. Incorrect. Digoxin typically decreases heart rate by increasing vagal tone and reducing the conduction velocity through the atrioventricular node.
B. Correct. Digoxin is a positive inotrope, meaning it increases the force of myocardial contraction, leading to increased cardiac output.
C. Incorrect. Decreased urinary output is not a common effect of digoxin.
D. Incorrect. Digoxin can lead to hyperkalemia, not hypokalemia, as it competes with potassium at the cellular level.

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A nurse is collecting data from a client who received IV morphine for postoperative pain. The nurse should identify that which of the following findings indicates a therapeutic response to the medication?

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