A nurse is caring for a client who received a dose of IV morphine for pain. Which of the following vital signs indicates the client is having an adverse reaction to the medication?
Blood pressure 140/86 mm Hg
Temperature 37.50 C (99.50 F)
Heart rate 65/min
Respiratory rate 10/min
The Correct Answer is D
Respiratory rate of 10/min indicates respiratory depression which a potential adverse effect of morphine. Opioids suppress the central respiratory centers leading to respiratory depression. Use of two opioids increases their levels in blood raising the risk of respiratory depression even higher which is fatal.
A.- Elevated blood pressure is not directly related to morphine use . Could be an indication of pain
B.-Normal temperature
C.-Normal heart rate
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A-Injection of air ensures that the accurate dose is withdrawn into the syringe
B-It is not necessary to administer within 20 min, it should, however, be administered within 24 hours.
C-Short-acting insulin should be drawn first to ensure that the short-acting insulin is not contaminated with the long-acting or intermediate one.
D- Insulin types can be mixed in the same syringe, provided the short-acting insulin is drawn up first.
Correct Answer is D
Explanation
Rifampin, an antibiotic used to treat bacterial infections, can cause a reddish-orange discoloration of body fluids, including urine. This color change is due to the presence of rifampin metabolites, which are eliminated through the urine. The discoloration is a harmless side effect and is considered normal while taking the medication. It causes decreased effectiveness of oral contraceptives
A- Rifampin is an enzyme inducer that increases the rate of metabolism of oral contraceptive pills.
This leads to subtherapeutic levels that increases the risk of pregnancy.
B- The prescription may vary
C- Rifampin causes staining of contact lens and should, therefore, be avoided
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