A client recently diagnosed with hypertension is prescribed a thiazide diuretic. Which condition below would be a contraindication associated with thiazide diuretics?

Choice A reason: This is the correct answer. Fatigue is a common symptom of anemia, especially following significant blood loss. The body's reduced oxygen-carrying capacity due to decreased hemoglobin levels leads to tiredness and weakness, making this symptom expected and relevant in the context described.

Choice B reason: Hypertension is less likely to be directly associated with postoperative anemia. Anemia typically results in compensatory mechanisms such as increased heart rate rather than elevated blood pressure. Therefore, this option is not the expected finding in this scenario.

Choice C reason: Bradycardia, or slow heart rate, is generally not a direct symptom of anemia. In fact, anemia often leads to tachycardia (increased heart rate) as the body attempts to maintain adequate oxygen delivery despite the lower hemoglobin levels. Hence, this choice is less likely.

Choice D reason: Diarrhea is not commonly related to anemia, especially postoperative anemia due to blood loss. It is more associated with gastrointestinal issues or infections and does not directly correlate with the hematologic condition described, making this option less likely.

Choice A reason:

Respiratory rate is the priority assessment before administering morphine because morphine can cause respiratory depression, a serious side effect. Monitoring the client's respiratory status ensures that the morphine does not significantly depress their breathing, which could lead to life-threatening hypoventilation.

Choice B reason:

While monitoring urine output is important for overall patient care, it is not the immediate priority before morphine administration. Morphine's primary concern is its impact on the respiratory system rather than renal function.

Choice C reason:

Assessing bowel sounds is relevant for managing potential constipation due to morphine use but is not the immediate priority before administration. Respiratory rate takes precedence because of the risk of respiratory depression.

Choice D reason:

Pupil reaction can indicate narcotic effect and neurological status but is not the immediate priority over respiratory rate. Ensuring the client’s respiratory status is stable is the most crucial step before administering morphine.