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

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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Correct Answer is B

Explanation

A. Rotavirus vaccination is typically administered in infancy, not at 5 years of age.
B. The second dose of varicella vaccine is usually given at 4-6 years of age.
C. Haemophilus influenzae type b (Hib) vaccination is typically completed by 15 months of age.
D. Hepatitis B vaccination typically starts at birth and is completed in infancy.

A. "Your child should ride the bicycle against the flow of traffic." B. "Your child should keep the bicycle at least 3 feet from the curb while riding in the street." C. "Your child should walk the bicycle through intersections." D. "Your child's feet should be 3 to 6 inches off the ground when seated on the bicycle."

Correct Answer is C

Explanation

- A: Riding against the flow of traffic is unsafe because it increases the likelihood of an accident. Drivers do not expect to see cyclists coming from the opposite direction and may not have enough time to react if they encounter one.
- B: Keeping the bicycle at least 3 feet from the curb is not always practical or safe. It may place the cyclist in the path of moving traffic, which can be dangerous, especially for children who may not have the experience to navigate around cars safely.
- C: Walking the bicycle through intersections is a safe practice because it allows the child to navigate the intersection without being in the path of cars, giving them time to look for oncoming traffic and proceed when it is safe.
- D: The child's feet should be able to touch the ground when seated on the bicycle. This ensures that the child can maintain balance and control of the bicycle, especially in situations where they need to stop quickly.

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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?

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