A postsurgical client has been receiving morphine by patient-controlled analgesia for 2 days. What action by the nurse best addresses potential adverse effects?

administering a stool softener as prescribed

auscultating the client's lung for adventitious sounds

encouraging active range of motion exercises

applying calf compressors as prescribed

Answer and Explanation

The Correct Answer is A

A. Administering a stool softener is essential as opioids like morphine commonly cause constipation, and this proactive measure helps mitigate that adverse effect.

B. While auscultating the lungs is important to monitor respiratory function, it does not specifically address a common adverse effect of morphine.

C. Encouraging active range of motion exercises can help prevent complications from immobility but does not directly address the most common adverse effect of morphine.

D. Applying calf compressors can help prevent deep vein thrombosis, but it is not the most effective action for addressing the specific adverse effects of morphine use.

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Correct Answer is A

Explanation

A. Blood pressure is correct because both nitroglycerin and diltiazem can cause vasodilation, leading to hypotension; thus, monitoring blood pressure is crucial for patient safety.

B. Level of consciousness is incorrect; while important, it is not the primary concern in this context.

C. Daily weights are incorrect; they are more relevant for assessing fluid status over time, not immediate drug effects.

D. Respiratory status is incorrect; while monitoring is important, blood pressure takes precedence due to the risk of hypotension associated with these medications.

A. "This insulin peaks in 6-12 hours." B. "I will take this insulin before breakfast." C. "This insulin lasts for 12-18 hours." D. "I will take this insulin right before eating meals to cover my carbohydrate intake."

Correct Answer is D

Explanation

A. The patient’s statement about the peak of NPH insulin being 6-12 hours is correct; it is important to know when to monitor for hypoglycemia.

B. Taking NPH before breakfast is appropriate, as it is typically given in the morning to provide coverage for meals throughout the day.

C. The duration of NPH insulin lasting for 12-18 hours is accurate, which is crucial for understanding how long the patient can expect blood glucose control.

D. NPH insulin should not be taken right before meals as it does not act quickly enough to cover immediate carbohydrate intake. Rapid-acting insulin is typically used for that purpose, indicating a need for further teaching.

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A postsurgical client has been receiving morphine by patient-controlled analgesia for 2 days. What action by the nurse best addresses potential adverse effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a long-standing diagnosis of angina has been prescribed nitroglycerin and diltiazem. In addition to monitoring the client's heart rate, the nurse should prioritize what assessment?

Correct Answer is A

Explanation

The nurse is teaching a patient with type 2 diabetes about intermediate-acting insulin (NPH). Which of the following statements by the patient indicates a need for further teaching?

Correct Answer is D

Explanation

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Interpret and spell the abbreviation: supp_____ Enter the full word below.

Interpret and spell the abbreviation: SL

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