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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Rebound pulmonary congestion is not a concern with prednisone discontinuation.
B. Gradual dose reduction is necessary to prevent adrenocortical insufficiency, as the body needs time to resume normal cortisol production.
C. Severe dehydration is not associated with prednisone discontinuation.
D. Hyperglycemia is a concern during prednisone use, but not specifically upon discontinuation.
Correct Answer is D
Explanation
A. Acute pain typically causes an increase in blood pressure, not a decrease.
B. Acute pain often leads to decreased, not hyperactive, bowel sounds due to sympathetic nervous system activation.
C. Acute pain typically causes an increase in respiratory rate, not a decrease.
D. Increased heart rate is a common physiological response to acute pain due to the activation of the sympathetic nervous system.
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