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A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?

A.

Stevens-Johnson syndrome

B.

Hypertension

C.

Prolonged wound healing

D.

Bradypnea

Answer and Explanation

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. 
  
 


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Related Questions

Correct Answer is ["B","C","D"]

Explanation

A. Salicylic acid is contraindicated for children under 12 years old because it can cause Reye's syndrome, a rare but serious condition that affects the brain and liver.
B. Sulfamethoxazole and trimethoprim is an antibiotic that is commonly used to treat UTIs caused by bacteria such as E. coli. It is anticipated for this client because it can help clear the infection and reduce the symptoms.
C. Proper perineal hygiene is important for preventing UTIs, especially in girls who have a shorter urethra than boys. The nurse should educate the child about wiping from front to back after using the toilet, avoiding bubble baths and scented products, and changing underwear daily.
D. Sunscreen is advised for clients taking sulfamethoxazole and trimethoprim because this medication can increase the sensitivity of the skin to sunlight and cause sunburns or rashes.
E. Fluid restriction is contraindicated for clients with UTIs because it can increase the concentration of bacteria in the urine and worsen the infection. The nurse should ensure that the child drinks plenty of fluids, such as water, juice, or milk, to flush out the bacteria and dilute the urine.

Correct Answer is ["A","C","D","F","G"]

Explanation

A. Cutting and filing the child's fingernails frequently can help prevent scratching and further irritation of the skin.
B. Atopic dermatitis is not contagious, so this statement is incorrect.
C. Applying emollients (moisturizers) to the child's skin after bathing can help hydrate the skin and reduce itching.
D. Using a mild detergent for the child's laundry can help minimize skin irritation.
E. Pimecrolimus cream is a topical immunomodulator that may be used for atopic dermatitis, but the thick layer application is not typically recommended for children due to safety concerns.
F. Applying gloves to the child's hands can prevent scratching and further damage to the skin.
G. Atopic dermatitis often has periods of exacerbation (flare-ups) followed by periods of improvement.

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