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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Providing a low-protein diet is not indicated for managing sickle-cell disease or vasoocclusive crisis. In fact, adequate protein intake is important for tissue repair and healing.
B. Applying cold compresses to painful areas may exacerbate vaso-occlusive crisis by causing vasoconstriction, which can further impede blood flow to affected tissues.
C. Performing passive range-of-motion exercises helps prevent complications associated with immobility during a vaso-occlusive crisis, such as muscle atrophy and joint contractures, and promotes circulation and pain relief.
D. Limiting fluid intake during the evening is not typically recommended for individuals with sickle-cell disease, as adequate hydration is essential for preventing dehydration and maintaining circulation, especially during a vaso-occlusive crisis.
Correct Answer is C
Explanation
A. Pitting edema: Pitting edema is a sign of fluid retention and is not specifically associated with hypokalemia.
B. Diplopia: Diplopia refers to double vision and is not typically associated with hypokalemia.
C. Muscle weakness: Hypokalemia can lead to muscle weakness due to the impaired function of skeletal muscles.
D. Hyperactive bowel sounds: Hyperactive bowel sounds can occur in conditions such as diarrhea but are not specific to hypokalemia.
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