A nurse is assessing a client prior to the administration of morphine. The nurse should recognize that which of the following assessments is the priority?
Bowel sounds
Respiratory rate
Urine output
Pupil reaction
The Correct Answer is B
A. While morphine can affect bowel sounds by causing constipation, this is not the priority assessment before administration.
B. Respiratory rate is the priority assessment because morphine can cause respiratory depression, which is a life-threatening side effect.
C. Urine output is important to monitor for overall kidney function and hydration status but is not the immediate priority before administering morphine.
D. Pupil reaction can indicate opioid effects, but monitoring respiratory status is more critical.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Taking ibuprofen with food can help minimize gastrointestinal irritation, a common side effect of NSAIDs.
B. Ibuprofen does not need to be stored in the refrigerator; it should be kept at room temperature.
C. Ringing in the ears (tinnitus) is a sign of salicylate toxicity, more commonly associated with aspirin, not ibuprofen.
D. Weight loss is not a common side effect of ibuprofen; however, monitoring for weight gain due to fluid retention might be more appropriate.
Correct Answer is ["250"]
Explanation
To calculate the infusion rate, the total volume of the IV fluid (2000 mL) should be divided by the total time of infusion (8 hours). This results in an infusion rate of 250 mL/hr. Therefore, the nurse should set the IV pump to deliver 250 mL of 0.45% sodium chloride (NaCl) per hour to infuse the total volume over the 8-hour period.
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