A nurse is reviewing the medication administration records of four clients who have a prescription for morphine PRN. Which of the following findings Should the nurse identify as a contraindication to this medication?
The client is experiencing a myocardial infarction.
The client who is 24 hr postoperative following hip arthroplasty.
The client who has bronchitis pleurisy.
The client has a paralytic ileus.
The Correct Answer is D
Morphine is an opioid medication used to treat moderate to severe pain but comes with a list of contraindications where its use would be inappropriate or dangerous.
A-A myocardial infarction, commonly known as a heart attack, is not a contraindication for morphine; in fact, morphine can be used to relieve pain associated with heart attacks.
B-Postoperative pain management following hip arthroplasty often includes opioids like morphine, unless specific contraindications are present.
C-While morphine can affect respiratory function, bronchitis pleurisy is not listed as a direct contraindication. However, caution is advised due to the potential for respiratory depression.
D-Paralytic ileus, a condition of obstructed bowel without any mechanical cause, is a contraindication for morphine use because opioids can exacerbate the condition by slowing down intestinal motility, leading to increased risk of significant complications.
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Related Questions
Correct Answer is C
Explanation
A- Type 2 diabetes is multifactorial- both genetic and lifestyle have a role in its development. Individuals with a positive family history for diabetes are more likely to develop the illness. Exposure to sedentary lifestyle increases the risk even more in these individuals.
This condition is characterized by insulin resistance, where the body's cells do not respond properly to insulin, and by a relative insulin deficiency, where the pancreas does not produce sufficient insulin for the body's needs. Lifestyle changes, such as diet and exercise, can be very effective in managing type 2 diabetes because they can improve the body's sensitivity to insulin and help control blood glucose levels.
Describes type 1 diabetes, where the pancreas produces little to no insulin, which is different from type 2 diabetes. In type 2 diabetes the body produce insulin but is either inadequate or there is increased tissues resistance to insulin
Correct Answer is D
Explanation
Rationale- Peripheral edema, which is swelling typically in the arms and legs due to the accumulation of fluid, is a common finding in hypervolemia. This condition can also lead to symptoms such as bloating, rapid weight gain, and high blood pressure due to the increased fluid in the bloodstream. Hypervolemia causes the accumulation of excessive fluid in the tissues leading to edema
A,B,C- Oliguria, bradycardia, and hypotension are not typical findings associated with hypervolemia. Instead, they are features of hypovolemia
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