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?

Tachycardia

Lacrimation

Hypertension

Urinary retention

Answer and Explanation

The Correct Answer is D

The correct answer is D. Urinary retention. Morphine is an opioid analgesic that can cause urinary retention by inhibiting bladder contractions and increasing sphincter tone. Urinary retention can lead to urinary tract infections, bladder distension, and renal impairment if not treated.

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Correct Answer is C

Explanation

Choice A reason:

Arching should not be expected. Arching of the body is not a typical manifestation of bacterial pneumonia. It may be seen in infants with certain conditions such as abdominal pain or neurologic issues, but it is not specific to pneumonia.

Choice B reason:

Drooling should not be expected. Drooling is not a common manifestation of bacterial pneumonia. It may be seen in certain conditions affecting the throat or mouth, but it is not directly related to pneumonia.

Choice C reason:

Fever is the correct answer. Bacterial pneumonia is an infection in the lungs caused by bacteria. When a child has bacterial pneumonia, their body's immune system responds to the infection, leading to inflammation and fever.

Choice D reason:

Steatorrhea should not be expected. Steatorrhea refers to fatty, bulky, and foul-smelling stools and is not associated with bacterial pneumonia. Steatorrhea may be seen in conditions affecting the gastrointestinal system and fat absorption.

Choice E reason:

Tinnitus should not be expected. Tinnitus is the perception of noise or ringing in the ears and is not a typical manifestation of bacterial pneumonia. Tinnitus can be associated with various ear-related conditions or medication side effects, but it is not directly related to pneumonia.

Correct Answer is {"dropdown-group-1":"D"}

Explanation

The nurse should prepare to administer naloxone and oxygen 10 L/min via face mask. Naloxone is a medicine that can reverse the effects of opioid drugs like fentanyl, which may have caused respiratory depression in the client.

Oxygen can help improve the client's oxygen saturation, which has dropped below 90%.

The nurse should avoid giving acetaminophen, which is not indicated for this situation, or additional doses of propofol or fentanyl, which may worsen the client's condition.

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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 assessing a child who has bacterial pneumonia. Which of the following manifestations should the nurse expect?

Correct Answer is C

Explanation

A nurse is assisting with the care of a client in an outpatient clinic. Exhibits Complete the following sentence by using the lists of options. The nurse should prepare to administer naloxone and

Correct Answer is {"dropdown-group-1":"D"}

Explanation

A nurse is reviewing the medical record of a client. Which of the following findings should the nurse report to the provider? These are the medical report: Urine specific gravity 1.035, albumin 4.5 mg/L, prealbumin 25 mg/dL and potassium 4.2 mg/dL

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