A nurse is caring for a client who is receiving morphine. Which of the following assessments should the nurse perform first?

Mostly cloudy

Apical heart rate

Blood pressure

Respiratory rate

Level of consciousness

Answer and Explanation

The Correct Answer is D

A. Mostly cloudy: This option appears to be incorrectly stated. It does not pertain to a critical client assessment related to morphine administration.

B. Apical heart rate: Monitoring the heart rate is important, but respiratory depression is a more immediate and life-threatening concern with morphine administration, so it is not the first priority.

C. Blood pressure: Morphine can cause hypotension, but this is not as critical as respiratory depression, which must be assessed first in opioid administration.

D. Respiratory rate: The most critical assessment when administering morphine is the respiratory rate, as opioid medications like morphine can cause respiratory depression, which can be life-threatening if not addressed.

E. Level of consciousness: While important, changes in consciousness typically follow respiratory depression, so assessing the respiratory rate takes priority.

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Correct Answer is B

Explanation

A. Brimonidine should not be instilled while wearing contact lenses; the client should remove them and wait at least 15 minutes before reinsertion.
B. Mild eye irritation, stinging, or burning is a common side effect of brimonidine and is an expected finding.
C. Brimonidine is used as a long-term treatment for open-angle glaucoma; it is not discontinued after a short course like 3 weeks.
D. Brimonidine does not change eye color; this is an effect associated with prostaglandin analogs such as latanoprost.

A. Alanine aminotransferase B. Thyroid-stimulating hormone C. Potassium D. Magnesium

Correct Answer is C

Explanation

A. Monitoring alanine aminotransferase is important for liver function, but it is not the priority for a client on captopril.

B. Thyroid-stimulating hormone is not directly impacted by captopril and is not the priority lab value to monitor in this context.

C. Potassium is the priority laboratory value to monitor because captopril, an ACE inhibitor, can lead to hyperkalemia (elevated potassium levels), which can cause serious cardiac complications.

D. While magnesium levels are important to monitor, they are not specifically related to captopril therapy as potassium levels are.

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A nurse is caring for a client who is receiving morphine. Which of the following assessments should the nurse perform first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a new prescription for brimonidine to treat open-angle glaucoma. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is B

Explanation

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Correct Answer is C

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