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 ["0.25"]
Explanation
To calculate the volume of haloperidol to administer, you would use the formula: Volume = Dose / Concentration. The dose required is 5 mg, and the concentration available is 20 mg/mL. Dividing the required dose by the concentration gives: 5 mg / 20 mg/mL = 0.25 mL.
Correct Answer is D
Explanation
A. Tinnitus is not a known adverse effect of acetaminophen.
B. Muscle pain is not a known adverse effect of acetaminophen.
C. Hyperglycemia is not a known adverse effect of acetaminophen.
D. Jaundice is an indication of liver damage, which can occur with excessive or long-term use of acetaminophen.
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