A nurse is reviewing the medication administration records of four clients who have a prescription for morphine PRN. Which of the following findings Should the nurse identify as a contraindication to this medication?

The client is experiencing a myocardial infarction.

The client who is 24 hr postoperative following hip arthroplasty.

The client who has bronchitis pleurisy.

The client has a paralytic ileus.

Answer and Explanation

The Correct Answer is D

Morphine is an opioid medication used to treat moderate to severe pain but comes with a list of contraindications where its use would be inappropriate or dangerous.

A-A myocardial infarction, commonly known as a heart attack, is not a contraindication for morphine; in fact, morphine can be used to relieve pain associated with heart attacks.

B-Postoperative pain management following hip arthroplasty often includes opioids like morphine, unless specific contraindications are present.

C-While morphine can affect respiratory function, bronchitis pleurisy is not listed as a direct contraindication. However, caution is advised due to the potential for respiratory depression.

D-Paralytic ileus, a condition of obstructed bowel without any mechanical cause, is a contraindication for morphine use because opioids can exacerbate the condition by slowing down intestinal motility, leading to increased risk of significant complications.

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Correct Answer is C

Explanation

Target FBS in Type 1 DM are 80-130 mg/Dl. his statement indicates an understanding of the teaching because maintaining blood glucose levels within the target range is crucial for managing type 1 diabetes mellitus. Regular monitoring and keeping blood glucose levels within the recommended range can help prevent both short-term and long-term complications.

A-A snack is not enough as this depends on the duration of the sport, it should be individualized B- Insulin should be taken even when sick and provider should be contacted to advise on dosage adjustment

D-Storing insulin in the freezer leads to degradation ad loss of efficacy.

A. 2 hr blood glucose 170 mg/dL B. HbA1c 5.5% C. Fasting blood glucose 155 mg/dL D. Casual blood glucose 180 mg/dl

Correct Answer is C

Explanation

Criteria for diagnosis of diabetes mellitus include

i.Symptoms of hyperglycemia + casual blood glucose of >/= 200mg/dl
ii. Fasting blood glucose of >/= 126mg/dl
iii. 2 hr blood glucose of >/= 200mg/dl
iv. HbA1c 0f >/= 6.5%
Fasting- 8 hrs without caloric intake
Casual- any time regardless of caloric intake

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A nurse is reviewing the medication administration records of four clients who have a prescription for morphine PRN. Which of the following findings Should the nurse identify as a contraindication to this medication?

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