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 A

Explanation

Hypovolemia leads to reduced cardiac output hence a weak pulse. Hypovolemia leads to reduced venous return to the heart. This subsequently leads to low stroke volume which is palpated as a weak and low volume pulse.

B-Not a symptom directly related to hypovolemia

C-Hypovolemia leads to an increased heart rate

D-Hypovolemia leads to low blood pressure

Correct Answer is ["3.2"]

Explanation

ml= Desired dose /Available concentration *Volume

3.2mL

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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 sustained blood loss. Which of the following is a manifestation of hypovolemia?

Correct Answer is A

Explanation

A nurse is caring for an infant who weighs 121b and is prescribed cefuroxime sodium 15mg/kg PO every 12 hr. Available is cefuroxime sodium oral solution 125mg/5mL. HOW many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies.

Correct Answer is ["3.2"]

Explanation

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