A nurse is assessing a client 15 min after administering morphine sulfate 2 mg via IV push. The nurse should identify which of the following findings as an adverse effect f the medication?

Respiratory rate 8/min

sa02 94%

Pain level of 6 on a scale from 0 to 10

Sleepy, but arousing when her name is called

Answer and Explanation

The Correct Answer is A

Morphine sulfate, an opioid analgesic, can cause serious side effects including lifethreatening respiratory depression. A normal respiratory rate for adults is typically between 12 to 16 breaths per minute. A rate of 8 breaths per minute is considered abnormally low and can be indicative of respiratory depression, which is a serious risk associated with opioid medications like morphine sulfate. It's important for healthcare providers to monitor clients closely after administering opioids to manage any potential adverse effects promptly.

B-SaO2 is not a direct indicator of central respiratory depression

C-Pain relief is expected as it is an analgesic

D-Morphine can cause sedation which is okay after respiratory depression has been ruled out

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Correct Answer is C

Explanation

Naloxone is an opioid antagonist used to rapidly reverse the effects of an opioid overdose, which often includes severely slowed or stopped breathing.

CheyneStokes respirations (A) and Kussmaul respirations (D) are abnormal breathing patterns that are not indicative of effective naloxone treatment.
Substernal retractions (B) indicate difficulty breathing, which would not suggest that the naloxone has been effective.
Effective naloxone intervention is typically indicated by the restoration of normal breathing patterns in a person who has experienced opioid toxicity.

A-Cheyne stokes respirations is due to conditions such as stroke, brain injury

B-Substernal retraction occur in respiratory distress due to pulmonary conditions such as pneumonia D-Kussmaul breathing is found in diabetes ketoacidosis

Correct Answer is ["675"]

Explanation

- 198 lb ÷ 2.205 lb/kg = 90 kg
Calculate the total daily dose:
- 15 mg/kg/day * 90 kg = 1350 mg/day
Calculate the dose for each 12-hour period:
- 1350 mg/day ÷ 2 doses/day = 675 mg/dose

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A nurse is assessing a client 15 min after administering morphine sulfate 2 mg via IV push. The nurse should identify which of the following findings as an adverse effect f the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a newly licensed nurse about assessing a client who received naloxone to treat opioid toxicity. The nurse should include that which of the following findings indicate the intervention is effective?

Correct Answer is C

Explanation

A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer With each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. DO not use a trailing zero.)

Correct Answer is ["675"]

Explanation

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