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 D

Explanation

Pickled vegetables should be omitted because they typically contain a high amount of sodium, which is used in the pickling process to preserve the vegetables. It's always important to check for hidden sources of sodium in foods and opt for fresh, unprocessed ingredients whenever possible.

A, B, C- Flatbread, broiled fish fillet, and boiled rice are generally considered low in sodium and more suitable for a low-sodium diet, especially when prepared without added salt.

A. "I'll check my feet every day for sores and bruises." B. "I'll soak my feet in cool water every night before I go to bed." C. "I'll put lotion between my toes after drying my feet." D. "I'll wear sandals in warm weather."

Correct Answer is A

Explanation

This statement indicates that the client understands the importance of daily foot inspections to prevent complications, which is crucial for individuals with diabetes due to their increased risk of foot ulcers and infections stemming from high blood sugar levels. The client's understanding of the need for daily foot checks demonstrates a grasp of essential diabetic foot care principles.
B- It is not advisable because soaking feet can lead to skin breakdown, increasing the risk of infection.
C- It is incorrect because putting lotion between toes can cause excessive moisture, which can also lead to infections.
D- while it may seem reasonable, is not the best practice as wearing sandals can expose the feet to injuries and does not provide the necessary support and protection. Soaking the feet in water increases risk of infections

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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