A nurse is collecting data on a client who has a prescription for morphine. The nurse should recognize which of the following data is a priority to obtain before administering this medication?
Temperature
Blood pressure
Respiratory rate
Apical heart rate
The Correct Answer is C
Choice A reason: Temperature isn’t critical for morphine; respiratory depression is priority. This errors per nursing pharmacology standards. It’s universally distinct, less urgent than breathing.
Choice B reason: BP is relevant, but morphine’s main risk is respiratory. Rate trumps it per nursing standards. This is universally distinct, secondary to respiration.
Choice C reason: Morphine depresses breathing; respiratory rate is critical pre-administration. This aligns with nursing pharmacology standards. It’s universally distinct, ensuring safety first.
Choice D reason: Heart rate matters less than respiratory risk with morphine. This choice misaligns with nursing priorities. It’s universally distinct, not the top concern.
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Related Questions
Correct Answer is B
Explanation
Choice A reason: BP every 4 hours isn’t universal; slow rising is key. This errors per nursing standards. It’s universally distinct, not the primary responsibility.
Choice B reason: Teaching slow position changes prevents antihypertensive-induced dizziness. This fits nursing pharmacology standards. It’s universally applied, distinctly critical for safety.
Choice C reason: Stopping meds needs orders; slow rising manages drops. This misaligns with nursing pharmacology. It’s universally distinct, errors in protocol.
Choice D reason: Tachycardia doesn’t justify dose increase; slow rising helps. This errors per nursing standards. It’s universally distinct, off responsibility mark.
Correct Answer is C
Explanation
Choice A reason: Antihistamines block histamine, not raise HR or BP. Epinephrine fits emergency needs. This errors per nursing pharmacology. It’s universally distinct, lacking stimulatory emergency effects.
Choice B reason: Sedatives reduce activity, not increase HR or BP. Epinephrine acts oppositely. This choice reverses nursing standards. It’s universally distinct, unsuitable for emergency stimulation.
Choice C reason: Epinephrine boosts HR, BP, and dilates bronchi in emergencies. This matches nursing pharmacology standards. It’s universally applied, distinctly effective for acute life-saving interventions.
Choice D reason: Hormones vary; epinephrine specifically meets all criteria emergently. This lacks precision per nursing standards. It’s universally distinct, too vague for the question’s intent.
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