A nurse is administering morphine 2 mg IV every 2 to 4 hr to a client who has an abdominal incision. The nurse should monitor the client for which of the following adverse effects?

Hiccups

Heartburn

Orthostatic hypotension

Diarrhea

Answer and Explanation

The Correct Answer is C

A. Hiccups are not a common adverse effect of morphine.
B. Heartburn is not a common adverse effect of morphine.
C. Orthostatic hypotension is a known adverse effect of morphine due to its potential to cause vasodilation and lower blood pressure, especially when the client changes positions.
D. Diarrhea is not a common adverse effect of morphine; constipation is more likely.

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Correct Answer is D

Explanation

Rationale:
A. Reviewing at the nurses' station ensures understanding but is not the final check.
B. Documentation occurs after administration and is not part of the final check.
C. Checking the medication in the area where it was obtained is important but not the final check.
D. Performing the final check at the client's bedside before administration ensures the correct medication is given to the correct client, preventing medication errors.

A. Stage 1 hypertension B. Elevated C. Stage 2 hypertension D. Within the expected reference range

Correct Answer is B

Explanation

A. Stage 1 hypertension is defined as a systolic BP of 130-139 mm Hg or a diastolic BP of 80-89 mm Hg.
B. Elevated BP is defined as a systolic BP of 120-129 mm Hg and a diastolic BP of less than 80 mm Hg.
C. Stage 2 hypertension is defined as a systolic BP of 140 mm Hg or higher or a diastolic BP of 90 mm Hg or higher.
D. Normal BP is defined as a systolic BP of less than 120 mm Hg and a diastolic BP of less than 80 mm Hg.

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A nurse is administering morphine 2 mg IV every 2 to 4 hr to a client who has an abdominal incision. The nurse should monitor the client for which of the following adverse effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a pre-packaged oral medication to a client and complete the final medication check. At which of the following times or places should the nurse perform this final check?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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