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.

Answer and Explanation

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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Correct Answer is ["675"]

Explanation

- 198 lb ÷ 2.205 lb/kg = 90 kg
Calculate the total daily dose:
- 15 mg/kg/day * 90 kg = 1350 mg/day
Calculate the dose for each 12-hour period:
- 1350 mg/day ÷ 2 doses/day = 675 mg/dose

A. A Extreme thirst B. B Hyperactive bowel sounds C. C Weak, irregular pulse D. D Hyperactive reflexes

Correct Answer is C

Explanation

Hypokalemia, a condition characterized by low levels of potassium in the blood, can manifest in various clinical signs and symptoms including a weak, irregular pulse. Potassium plays a crucial role in cardiac function, and its deficiency can lead to arrhythmias or abnormal heart rhythms, which may present as a weak or irregular pulse. potassium is vital for heart contractility. Deficiency leads to arrhythmias presenting as a weak irregular pulse

A, B-Extreme thirst is more commonly associated with hypernatremia or high levels of sodium, while hyperactive bowel sounds could be indicative of gastrointestinal distress but are not specific to hypokalemia.

D-Hyperactive reflexes are not typically associated with low potassium levels but rather with other electrolyte imbalances.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer With each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. DO not use a trailing zero.)

Correct Answer is ["675"]

Explanation

A nurse is assessing a client who has hypokalemia as a result of nausea. vomiting, and diarrhea. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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