A nurse is caring for a client who is receiving morphine for pain. Which of the following findings indicates that the client is experiencing an adverse effect of the medication?

Hypertension

Lacrimation

Tachycardia

Urinary retention

Answer and Explanation

The Correct Answer is D

Choice A Reason:

Hypertension (high blood pressure) is not a common adverse effect of morphine. Opioid medications are more likely to cause hypotension (low blood pressure).

Choice B Reason:

Lacrimation (excessive tearing) is not a typical adverse effect of morphine. Opioids can cause dry mouth and decreased tear production.

Choice C Reason:

Tachycardia (rapid heart rate) is not a common adverse effect of morphine. Morphine and other opioids are more likely to cause bradycardia (slow heart rate) or a decrease in heart rate.

Choice D Reason:

Urinary retention is an adverse effect associated with opioid medications like morphine. Opioids can cause relaxation of smooth muscles, including those in the urinary bladder, which can lead to difficulty or inability to urinate.

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Correct Answer is D

Explanation

The recommended weight gain during pregnancy can vary depending on a woman's pre-pregnancy BMI (Body Mass Index).

For a client with a prepregnancy BMI of 30.5, the recommended weight gain is approximately 11 to 20 pounds. Therefore, none of the options A, B, C, are within this recommended range.

So, the nurse should inform the client that an acceptable weight gain for her would be between 11 to 20 pounds during her pregnancy.

A. "I will increase the flow rate if I feel short of breath." B. "I can use synthetic blankets on my bed." C. "I will check my oxygen equipment at least once daily." D. "I can use isopropyl alcohol to clean the nasal cannula when necessary."

Correct Answer is C

Explanation

Choice A Reason:

Increasing the flow rate without healthcare provider guidance can be dangerous and should not be done without proper instruction.

Choice B Reason:

Synthetic blankets can generate static electricity, which poses a fire hazard in the presence of oxygen. Clients using oxygen therapy should be advised to use cotton or wool blankets that are less likely to generate static.

Choice C Reason:

"I will check my oxygen equipment at least once daily." This statement indicates an understanding of the importance of equipment safety and maintenance in home oxygen therapy. Regularly checking oxygen equipment for proper functioning is essential for the client's safety. It helps ensure that the oxygen delivery system is working correctly and that there are no issues with flow rate or oxygen concentration.

Choice D Reason:

Isopropyl alcohol is flammable and should not be used to clean oxygen equipment due to the risk of ignition in the presence of oxygen. Clients should use mild soap and water for cleaning nasal cannulas and other equipment.

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A nurse is caring for a client who is receiving morphine for pain. Which of the following findings indicates that the client is experiencing an adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing dietary teaching with a client whose prepregnancy BMI was 30.5. The nurse should include that which of the following is an acceptable weight gain for this client?

Correct Answer is D

Explanation

A nurse is reinforcing discharge teaching with a client who has a prescription for home oxygen therapy. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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