A nurse is monitoring a client who is receiving morphine IV and amitriptyline PO. Which of the following findings indicates an adverse interaction between the prescribed medications?

Urinary retention

Diarrhea

Low-grade fever

Tachypnea

Answer and Explanation

The Correct Answer is A

A. Urinary retention can occur as an adverse effect of both morphine (opioid) and amitriptyline (anticholinergic), which can lead to difficulty urinating.

B. Diarrhea is not a common interaction between morphine and amitriptyline. In fact, morphine often causes constipation.

C. Low-grade fever is not a known adverse interaction between these two drugs.

D. Tachypnea is not a typical adverse effect of the combination of morphine and amitriptyline.

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Correct Answer is C

Explanation

A. Vomiting 30 mL of fluid is concerning but not immediately life-threatening in the context of morphine administration.

B. Urinary output of 20 mL in 1 hr is low, but it is not as urgent as respiratory depression.

C. Respirations deep at a rate of 10/min is a sign of respiratory depression, which is a priority concern in patients receiving opioids like morphine, as it can lead to hypoxia and respiratory failure.

D. Blood pressure 90/60 mm Hg is low but not as immediately concerning as respiratory depression in this scenario.

A. Severe headache B. Rapid rise in temperature C. Hypertension D. Tachycardia

Correct Answer is A

Explanation

A. Severe headache can result from epidural anesthesia due to post-dural puncture headache caused by leakage of cerebrospinal fluid.

B. Rapid rise in temperature may indicate infection but is not a common reaction to epidural anesthesia.

C. Hypertension is not a common adverse effect of epidural anesthesia; in fact, hypotension is more typical due to sympathetic blockade.

D. Tachycardia is not a typical adverse reaction, and the most likely response to epidural anesthesia is bradycardia due to autonomic blockade.

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A nurse is monitoring a client who is receiving morphine IV and amitriptyline PO. Which of the following findings indicates an adverse interaction between the prescribed medications?

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Naxlex Comprehensive Predictor Exams

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