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 C
Explanation
Rationale-Blood is considered an isotonic solution because its solute concentration is similar to that of the cells in the body, allowing for free movement of water across cell membranes without causing a net influx or efflux of water. This isotonic nature is crucial for maintaining cell integrity and function.
Isotonic solutions have the same osmotic pressure as body’s plasma
B-Hypertonic solution like 3% saline have higher osmotic pressure compared to plasma. This type of solutions draw water from the cells causing shrinkage
D-Hypotonic solution like 0.45% saline have lower osmotic pressure as compared to plasma. They cause swelling of cells with eventual damage
Correct Answer is D
Explanation
The lab value that should be reported to the provider is D. Sodium 126 mEq/L. Normal sodium levels are typically between 135 and 145 mEq/L. A sodium level of 126 mEq/L is considered hyponatremia, which is a lower-than-normal concentration of sodium in the blood. Hyponatremia can have various causes and may result in symptoms such as headache, confusion, seizures, and other serious health issues.
A-Normal magnesium levels – 1.7-2.2 mEq/L
B-Normal potassium levels- 3.5-5.5mEq/L
C-Normal chloride levels- 96-106 mEq/L
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