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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
NPH insulin is an intermediate acting type of insulin that peaks at 6 to 1 hours.
A-Insulin should not be frozen as it leads to degradation and reduced efficacy. This may lead to inadequate glycemic control and increased risk of complications
C-NPH insulin has a normal turbid appearance at neutral pH
D NPH should not be shaken vigorously but rather rolled gently between the palms to allow for proper mixing without causing bubble formation in the insulin.
Correct Answer is D
Explanation
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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