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 B

Explanation

A potassium level of 6.0 mEq/L is considered to be mild hyperkalemia. Hyperkalemia can be dangerous and usually requires immediate treatment, especially if it is accompanied by symptoms or significant changes from the client's baseline. The appropriate action would be to inform the prescribing physician of the client's serum potassium level to receive further instructions, which may include omitting the dose or adjusting the treatment plan.

A. Increase the client's fluid intake. B. Instruct the client to perform the Valsalva maneuver. C. Elevate the head of the client’s bed, D. Encourage the client to use guided imagery to relax.

Correct Answer is A

Explanation

Rationale- the most appropriate action for a nurse to plan would be to increase the client's fluid intake. This action helps to restore the fluid volume in the body, thereby improving blood pressure levels.
Proper hydration is crucial in dehydrated and hypotensive clients.
B- The Valsalva maneuver is not typically recommended for hypotension as it can further decrease blood pressure.
C- Elevating the head of the bed is generally advised for clients with respiratory issues, not primarily for those with hypotension. Guided imagery can be a useful tool for relaxation but does not directly address the immediate physiological needs of dehydration and hypotension.
D- Relaxation does not solve the client’s issues

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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

A nurse is caring for a client who has a prescription for potassium chloride (KCL) 20 mEq PO daily. The nurse reviews the client's most recent laboratory results and finds the client's potassium level is 6.0 mEq/L Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is planning care for a client who has dehydration and hypotension. Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

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