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 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
Correct Answer is D
Explanation
Rationale- morphine is an opioid that is commonly used as an analgesics to manage post-operative pain. Morphine has a potential for resulting in respiratory distress . The nurse should do frequent monitoring of the respiratory rate.
A, B,C- They are important assessments but not directly related to morphine use
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.