A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Stevens-Johnson syndrome
Hypertension
Prolonged wound healing
Bradypnea
The Correct Answer is D
A. Stevens-Johnson syndrome is a severe, rare, and potentially life-threatening reaction that can occur as a hypersensitivity reaction to certain medications. However, it is not typically associated with morphine use.
B. Morphine is more commonly associated with hypotension rather than hypertension. Therefore, while monitoring for changes in blood pressure is important, hypertension is not a primary concern with morphine administration.
C. Morphine use is not typically associated with prolonged wound healing. However, it can cause respiratory depression, which can indirectly affect wound healing by reducing tissue oxygenation.
D. Morphine is a potent opioid analgesic that can cause respiratory depression, leading to bradypnea (slow breathing) or even respiratory arrest. Monitoring respiratory rate is crucial when administering morphine to detect signs of respiratory depression early and intervene promptly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Neck vein distention is not typically associated with acetylsalicylic acid poisoning.
B) Jaundice is not typically associated with acetylsalicylic acid poisoning.
C) Polyuria is not typically associated with acetylsalicylic acid poisoning.
D) Hyperpyrexia, or extremely high fever, is a common symptom of severe acetylsalicylic acid poisoning due to its effects on the central nervous system and metabolism.
Correct Answer is C
Explanation
A. A low hemoglobin level indicates anemia, which is common in leukemia but does not necessarily indicate treatment effectiveness.
B. A low platelet count is a sign of bone marrow suppression, which is a common side effect of chemotherapy for leukemia.
C. A normal RBC count indicates that the child's bone marrow is producing enough red blood cells to carry oxygen throughout the body.
D. Elevated WBC count is typical in leukemia and does not necessarily indicate treatment effectiveness.
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