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
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 A
Explanation
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
Correct Answer is C
Explanation
The nurse should monitor the client for cardiac dysrhythmias. A potassium level of 3.3 mEq/L is considered low, and hypokalemia can lead to abnormal heart rhythms or arrhythmias, which can be life-threatening. Furosemide, a diuretic used to treat hypertension, can cause the body to excrete potassium, leading to a deficiency. It is essential for healthcare providers to monitor potassium levels in clients taking diuretics and manage any complications that may arise.
A-Neurogenic shock occurs due to spinal cord injuries
A- Seizures commonly occur in hyponatremia
D-Hypoglycemia is due to low levels of blood sugars, unrelated to hypokalemia
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