A nurse is collecting data from a client who received IV morphine for postoperative pain. The nurse should identify that which of the following findings indicates a therapeutic response to the medication?

The client's blood pressure has been reduced.

The client exhibits diaphoresis.

The client is grimacing.

The client has an elevated heart rate.

Answer and Explanation

The Correct Answer is A

A.   This is the correct answer. Reduction in blood pressure is a common therapeutic response to morphine administration. Morphine acts as a vasodilator, which can lead to decreased blood pressure.
B.   Diaphoresis, or sweating, is not necessarily a therapeutic response to morphine. It may indicate other physiological responses or side effects.
C.   Grimacing suggests pain or discomfort, which is not a therapeutic response but rather an indication that the pain relief from morphine may not be sufficient.
D.   An elevated heart rate is not typically a therapeutic response to morphine and may indicate pain, anxiety, or other factors.

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Correct Answer is D

Explanation

A. Water-soluble lubricant—not oil-based—is used to ease nasogastric tube insertion, as oil-based products can damage the tube or interfere with placement verification.

B. An enteric feeding pump is unnecessary for gastric decompression, which involves suctioning stomach contents rather than delivering nutrition.

C. Clean gloves, not sterile gloves, are sufficient for nasogastric tube insertion since it is a non-sterile procedure.

D. pH strips are essential to verify correct placement of the NG tube in the stomach, as aspirate pH helps ensure the tube is not in the lungs or intestines.

A. Accountability B. Autonomy C. Veracity D. Justice

Correct Answer is C

Explanation

A. Accountability refers to the nurse's responsibility to provide safe and competent care, including administering medications accurately and documenting appropriately.
B. Autonomy refers to the client's right to make decisions about their own care, including whether or not to take prescribed medications.
C. Veracity refers to truthfulness and honesty in communication. By providing the client with accurate information about the purpose of the medication, the nurse is demonstrating veracity. D. Justice refers to fairness and equity in the distribution of resources and treatment. While ensuring access to necessary medications is important for justice, it is not directly related to the nurse's communication about the purpose of the medication.

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A nurse is collecting data from a client who received IV morphine for postoperative pain. The nurse should identify that which of the following findings indicates a therapeutic response to the medication?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to insert a nasogastric tube for a client who has a prescription for gastric decompression. Which of the following supplies should the nurse obtain prior to the procedure?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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