A client had abdominal surgery this morning. The client is groggy but complaining of severe pain around the incision. What is the most important assessment data to consider before the nurse administers a dose of morphine sulfate to the client?

The client's respiratory rate

The appearance of the incision

The date of the clients last bowel movement

The client's pulse rate

Answer and Explanation

The Correct Answer is A

A. morphine can cause respiratory depression
B. Not relevant to morphine administration
C. Important assessment but not priority
D. not directly related to morphine administration

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Correct Answer is B

Explanation

B. simethicone facilitates removal of gas by reducing the surface tension of gas bubbles
A. It is a H2 receptor that reduces acid production in the gastrointestinal tract
C. Antacids used for hyperacidity by neutralizing acids
D. Used for GERD

A. Verify the order with the charge nurse. B. Ask the pharmacist to double-check the order. C. Repeat the order to the prescriber before hanging up the telephone. D. Call back the prescriber to review the order.

Correct Answer is C

Explanation

A.The charge nurse can provide support, but they are not responsible for confirming or authorizing medical orders. Telephone orders must be verified directly with the prescriber.

B.The pharmacist can review medication safety, but they cannot confirm or validate the prescriber’s order over the phone. The responsibility for clarification remains between nurse and prescriber.
C. It's the correct answer and follows the standard safety protocol for verbal/telephone orders:

The nurse writes the order exactly as given
Then reads it back to the prescriber verbatim
The prescriber confirms accuracy before the call ends

This is known as read-back verification, and it reduces medication errors significantly.
D.While clarification may sometimes be needed, routinely hanging up and calling back is not standard practice and increases communication delays. The correct step is to confirm during the same call.

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A client had abdominal surgery this morning. The client is groggy but complaining of severe pain around the incision. What is the most important assessment data to consider before the nurse administers a dose of morphine sulfate to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has excessive and painful gas. The nurse checks the client's medication orders and prepares to administer which drug for this problem?

Correct Answer is B

Explanation

When taking a telephone order for a medication, which action by the nurse is most appropriate?

Correct Answer is C

Explanation

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