Patient Data

Exhibits

The nurse needs to determine the priority assessment before administering morphine.

Select from Word Choices to complete the sentence.

Before administering morphine, the most important assessment to perform is to check the client's ______________

Temperature

Heart rate

Respiratory rate

Blood pressure

Answer and Explanation

The Correct Answer is C

A. Temperature: While monitoring temperature is part of routine assessment, it does not directly affect the safe administration of morphine. Fever is not an immediate contraindication to opioid use.

B. Heart rate: Heart rate should be monitored, but morphine primarily depresses the respiratory system rather than significantly affecting heart rate in most cases.

C. Respiratory rate: Morphine can cause respiratory depression, especially in opioid-naive or older adults. Assessing the respiratory rate before administration ensures the client can safely tolerate the medication and allows for early detection of adverse effects.

D. Blood pressure: Morphine can cause hypotension, so blood pressure monitoring is important, but respiratory depression poses a more immediate life-threatening risk and takes priority before administration.

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Correct Answer is A

Explanation

A. Pleural effusion: The combination of crackles, decreased tactile fremitus, and dullness to percussion is most consistent with pleural effusion. Fluid in the pleural space dampens vibration transmission, decreases fremitus, and creates a dull percussion sound while causing adventitious breath sounds.

B. Emphysema: Emphysema typically presents with hyperresonance on percussion due to air trapping, along with diminished breath sounds. Fremitus is decreased as well, but crackles and dullness are not characteristic findings.

C. Bronchitis: Bronchitis may cause crackles or wheezes due to airway inflammation, but tactile fremitus is usually normal or increased, and percussion tones remain resonant. The dullness noted here makes bronchitis unlikely.

D. Pneumothorax: Pneumothorax produces hyperresonant percussion sounds with absent or markedly decreased breath sounds. Fremitus is also decreased, but dullness and crackles are not expected, distinguishing it from pleural effusion.

A. Before going to bed. B. During acute illness. C. Prior to exercising. D. Immediately after meals.

Correct Answer is B

Explanation

A. Before going to bed: Bedtime glucose checks may be recommended for some clients, especially those on insulin, but this timing is individualized. It is not universally required for every client with diabetes.

B. During acute illness: Any client with diabetes, regardless of age or type, should monitor glucose closely during acute illness. Illness can cause stress-induced hyperglycemia or unpredictable fluctuations, requiring more frequent testing to guide management.

C. Prior to exercising: Checking glucose before exercise is important for clients at risk of hypoglycemia, especially those using insulin or certain oral agents. However, this is not necessary for all clients, particularly those with type 2 diabetes controlled by diet alone.

D. Immediately after meals: Postprandial monitoring is useful in some cases to evaluate mealtime insulin effectiveness or dietary impact, but it is not universally recommended for every diabetic client. Its use depends on individualized treatment plans.

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Patient Data Exhibits The nurse needs to determine the priority assessment before administering morphine. Select from Word Choices to complete the sentence. Before administering morphine, the most important assessment to perform is to check the client's ______________

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client's respiratory assessment reveals crackles, decreased tactile fremitus, and a dull sound in left lower chest during percussion. Which condition should the nurse document in the electronic medical record?

Correct Answer is A

Explanation

The nurse is planning a class about blood glucose monitoring for a group of clients with diabetes mellitus. Which timing of glucose testing would apply for any client regardless of the client's age or type of diabetes?

Correct Answer is B

Explanation

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Patient Data Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

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Patient Data

Exhibits

The nurse needs to determine the priority assessment before administering morphine.

Select from Word Choices to complete the sentence.

Before administering morphine, the most important assessment to perform is to check the client's ______________