A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following adverse effects?
Pruritus
Gastric bleeding
Tachypnea
Cough
The Correct Answer is A
Choice A rationale:
Pruritus, or itching, is a common adverse effect of opioid medications like morphine.
Choice B rationale:
Gastric bleeding is not a typical adverse effect of morphine administered via epidural infusion.
Choice C rationale:
Tachypnea, or rapid breathing, is not a common adverse effect of morphine. It's more commonly associated with opioid overdose.
Choice D rationale:
Cough is not a prominent adverse effect of morphine administered via epidural infusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
A sodium level of 137 mEq is within a normal range.
Choice B rationale:
A hemoglobin level of 15 g/dL is within a normal range.
Choice C rationale:
A hematocrit level of 43% is within a normal range.
Choice D rationale:
Creatinine 2.5 mg/dL is elevated, indicating possible kidney impairment. Tobramycin is known to be nephrotoxic, and administering it to a patient with impaired kidney function could exacerbate the condition. Therefore, this value should be reported to the provider before administering the medication.
Correct Answer is A
Explanation
- A) Alcohol use disorder is a contraindication for acetaminophen due to the increased risk of liver damage, especially in the case of chronic alcoholism or liver diseases.
- B) Chronic kidney disease is not an absolute contraindication but requires caution. Dosing intervals may need to be adjusted due to altered excretion.
- C) Receiving a Hepatitis B vaccine within the last week is not a contraindication for acetaminophen.
- D) Diabetes mellitus is not a contraindication for acetaminophen. Patients with diabetes should be aware of sugar content in liquid formulations, but it does not preclude the use of the medication.
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