A nurse is assessing a client's response to receiving morphine for postoperative pain management. Which of the following findings is the nurse's priority?

Hypotension

Bradycardia

Bradypnea

Pruritus

Answer and Explanation

The Correct Answer is C

A. Hypotension: While hypotension can be a concern with opioid use, it is less immediately life-threatening compared to respiratory depression, which is the most dangerous side effect of morphine. Monitoring BP is important, but the priority is airway and breathing.

B. Bradycardia: Bradycardia is a possible side effect of morphine, but it does not usually present an immediate risk to the client's life unless it is severe. Respiratory depression poses a greater risk to the client’s oxygenation status.

C. Bradypnea: Bradypnea (slow breathing) is the most critical concern when a client is receiving morphine. Opioids like morphine can cause respiratory depression, which can be life-threatening. This should be the nurse's priority to assess and address immediately.

D. Pruritus: Pruritus (itching) is a common side effect of morphine, but it is not life-threatening. While it can be uncomfortable, it does not require immediate intervention compared to respiratory depression.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Perform the reconciliation only at admission and discharge: Medication reconciliation should be performed at all stages of care. It should also be done during transfers between units and at any point where medication changes occur to ensure accuracy and prevent errors.

B. Compare only the prescribed home medications to the new prescriptions: Medication reconciliation requires comparing home medications and any newly prescribed medications. This includes reviewing all medications to identify discrepancies and ensure safety.

C. Delete new prescriptions that may interact with home medications: The nurse should not delete prescriptions. Instead, they should identify potential drug interactions, assess the risks, and notify the healthcare provider to discuss alternatives or adjustments as needed.

D. Consider the risk for medication interactions: The nurse should evaluate the potential for drug interactions by comparing home medications with new prescriptions. This helps to ensure the safety and effectiveness of the client's medication regimen.

A. Calcium 9.6 mg/dL (9 to 10.5 mg/dL) B. Glucose 96 (74 to 106 mg/dL) C. Potassium 4.3 mEq/L (3.5 to 5 mEq/L) D. Sodium 142 mEq/L (136 to 145 mEq/L)

Correct Answer is A

Explanation

A. Calcium 9.6 mg/dL (9 to 10.5 mg/dL): Treatment involves calcium and vitamin D supplementation to restore normal calcium levels. A calcium level of 9.6 mg/dL is within the normal range, indicating that the treatment is effective in correcting the calcium deficiency.

B. Glucose 96 mg/dL (74 to 106 mg/dL): Blood glucose is not directly related to the management of hypoparathyroidism. The glucose level being within normal range does not provide information about the effectiveness of treatment for hypoparathyroidism.

C. Potassium 4.3 mEq/L (3.5 to 5 mEq/L): Potassium levels are not directly affected by hypoparathyroidism. This value is within the normal range but does not indicate the effectiveness of treatment for hypoparathyroidism specifically.

D. Sodium 142 mEq/L (136 to 145 mEq/L): Sodium levels are not typically influenced by hypoparathyroidism or its treatment. This value is within normal range but does not indicate the effectiveness of treatment for hypoparathyroidism.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a client's response to receiving morphine for postoperative pain management. Which of the following findings is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing medication reconciliation for a newly admitted client. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a client who has hypoparathyroidism. Which of the following findings should indicate to the nurse that the treatment is effective?

Correct Answer is A

Explanation

A nurse in a provider's office is caring for a client. Exhibits Which of the following findings require follow-up? Select all that apply.

A nurse is instructing a client on the maintenance of their cast. Which of the following instructions should be given to the client?

A nurse in a health clinic is caring for a client. Exhibits Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client is at risk for developing dropdowndue todropdown.

A nurse is caring for a client who has chronic kidney failure. The client's ABG values are pH 7.12 (7.35 to 7.45), HCO3 20 mEq/L (21 to 28 mEq/L), PaO2 90 mm Hg (80 to 100 mm Hg), and PaCO2 40 mm Hg (35 to 45 mm Hg). Which of the following acid-base Imbalances should the nurse identify?

A nurse is planning care for an older adult client who has manifestations of dehydration. Which of the following interventions should the nurse include in the plan?

A nurse is assessing a client who has syndrome of inappropriate antidiuretic hormone. Which of the following findings should the nurse expect?

A nurse is caring for a client who has angina. Exhibits Complete the following sentence by using the lists of options. The client is at risk for developing dropdowndue todropdown.

A nurse is planning teaching about methods to reduce incontinent episodes for a client who has stress incontinence. Which of the following Instructions should the nurse plan to include?