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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Illusions typically involve misperceptions of sensory stimuli and can occur in various mental health conditions but are not specific to dementia.
Choice B Reason:
Memory loss that disrupts ADLs is correct. Memory loss that disrupts activities of daily living (ADLs) is a common and characteristic finding in individuals with dementia. Dementia is a progressive neurological disorder that affects cognitive function, including memory. As it progresses, individuals with dementia often experience increasing difficulty with memory and daily functioning.
Choice C Reason:
Pressured speech is a symptom often seen in conditions like mania or bipolar disorder but is not typically associated with dementia.
Choice D Reason:
Catatonia is a neuropsychiatric syndrome that can occur in conditions like schizophrenia but is not a common feature of dementia.
Correct Answer is A
Explanation
Choice A Reason:
Believing that bad behavior is causing a sibling's death is a specific concern that some children may have.
Choice B Reason:
Believes that his brother's death will be reversible is incorrect. This is common among children wsho are 3-5 years old.
Choice C Reason:
Alienating oneself from peers can happen as a coping mechanism for some children, but it is not the expected response for all school-age siblings.
Choice D Reason:
Regressing to an earlier developmental level can occur in response to stress, but it is not the expected response for all school-age siblings and may not happen in every case.
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