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 D

Explanation

A. This statement is incorrect because omeprazole is not an antibiotic and does not kill bacteria; it is a proton pump inhibitor (PPI) that reduces acid production.

B. This statement is incorrect; omeprazole does not neutralize stomach acid, but rather decreases its production.

C. This statement is also incorrect; omeprazole does not coat the stomach lining; it works by inhibiting the proton pumps in the stomach lining to reduce acid secretion.

D. This statement is correct; omeprazole reduces stomach acid production, which is beneficial for managing GERD symptoms.

A. "You should report the presence of brown-colored urine." B. "This medication can provide relief of peripheral nerve pain." C. “This medication can be crushed to facilitate swallowing” D. "Notify the provider if you develop a cough."

Correct Answer is A

Explanation

A. It is important to inform the client that nitrofurantoin can cause brown-colored urine as a harmless side effect and they should report this to their provider.

B. Nitrofurantoin is an antibiotic used to treat urinary tract infections and does not provide relief for peripheral nerve pain.

C. Nitrofurantoin should not be crushed because it can affect the medication's absorption and effectiveness.

D. While coughing is not a common side effect of nitrofurantoin, if the client develops a cough, it could indicate a serious reaction, so it is important to notify the provider. However, the primary teaching point for nitrofurantoin is regarding the urine discoloration.

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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 providing discharge instructions to a client who has a new prescription for omeprazole for the treatment of GERD. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is teaching a client who has a new prescription for nitrofurantoin. Which of the following Information should the nurse include in the teaching?

Correct Answer is A

Explanation

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