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.
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Related Questions
Correct Answer is D
Explanation
The client most at risk for hypokalemia among the ones listed would be D, the client who has a nasogastric (NG) tube to suction. Hypokalemia, or low potassium levels in the blood, can occur due to excessive loss of potassium in the gastrointestinal tract. An NG tube to suction can cause significant potassium loss because it removes gastric contents, which include potassium. Other factors that can contribute to hypokalemia include prolonged diarrhea, vomiting, and certain medications that increase urination or cause potassium to shift out of the bloodstream. It's important for nurses to monitor the electrolyte levels of clients with NG tubes to suction and manage their potassium levels appropriately to prevent complications.
Other drainage tubes do not contribute to electrolytes loss
Correct Answer is C
Explanation
Rationale- When administering morphine intravenously, it is essential to have an opioid antagonist available to reverse the effects of opioids in case of an overdose or adverse reaction. Naloxone is the medication typically used for this purpose. It can quickly reverse the effects of morphine, making it an essential safety measure during opioid administration.
A Neostigmine is used to reverse the effects of certain muscle relaxants,
B Protamine is used to reverse the effects of heparin, and
D Flumazenil is used to reverse the effects of benzodiazepines, none of which are relevant in the context of morphine administration.
D-Flumazenil is an antidote for benzodiazepine
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