Exhibits

Which actions should the nurse take to assure safety during morphine administration? Select all that apply.

Ask the client about other medications she takes.

Suction the client to clear the airway.

Take an initial respiratory rate.

Have a manual resuscitation bag at the bedside.

Perform a 12-lead electrocardiogram.

Restrain the client with soft restraints.

Answer and Explanation

Correct Answer : A,C,D

A. Ask the client about other medications she takes: Knowing the client’s full medication list helps identify potential drug interactions with morphine, such as other CNS depressants, which can increase the risk of respiratory depression and sedation, ensuring safer administration.

B. Suction the client to clear the airway: Suctioning is an intervention used if airway obstruction occurs, but it is not a routine action during morphine administration. It is reactive rather than preventive and should be performed only if the client shows signs of airway compromise.

C. Take an initial respiratory rate: Monitoring respiratory rate before and during morphine infusion is essential because opioids can depress respiration. Baseline respiratory assessment allows early detection of respiratory depression, enabling prompt intervention.

D. Have a manual resuscitation bag at the bedside: A manual resuscitation bag (Ambu bag) must be immediately available to assist ventilation if the client develops respiratory depression or apnea during opioid administration, ensuring rapid emergency response.

E. Perform a 12-lead electrocardiogram: A 12-lead ECG is not routinely indicated solely for morphine administration unless the client has a cardiac condition requiring monitoring. It is not a standard safety measure related to morphine infusion.

F. Restrain the client with soft restraints: Physical restraints are not routinely used for clients receiving morphine unless there is a specific behavioral risk or danger to self or others. Restraints can increase fall risk and are not a standard safety action during opioid administration.

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Correct Answer is ["A","E"]

Explanation

A. Albuterol via nebulizer: Albuterol is a short-acting beta-2 agonist (SABA) that provides rapid bronchodilation, making it the first-line treatment for acute asthma exacerbations. Nebulized administration is effective for quick symptom relief in clients with severe wheezing.

B. Racemic epinephrine via nebulizer: Racemic epinephrine is primarily used for croup and upper airway obstruction, not for asthma exacerbations. It is not a standard treatment for bronchospasm caused by asthma.

C. Budesonide via metered dose inhaler: Budesonide is an inhaled corticosteroid used for long-term control of asthma inflammation but has a delayed onset and is not appropriate for immediate relief during acute exacerbations.

D. Fexofenadine orally: Fexofenadine is an antihistamine used to treat allergic rhinitis and seasonal allergies; it does not relieve bronchospasm or acute asthma symptoms.

E. Levalbuterol inhaler: Levalbuterol is the active (R-) isomer of albuterol and also a SABA. It provides rapid bronchodilation and can be used as an alternative to albuterol for acute asthma symptoms.

F. Salmeterol via nebulizer: Salmeterol is a long-acting beta-2 agonist (LABA) used for maintenance therapy and is not indicated for acute asthma attacks due to its slow onset of action.

Correct Answer is ["2.5"]

Explanation

Calculation:

Prescribed dose = 1 mg

Available concentration = 0.4 mg/mL

Calculate the volume to administer.

Volume (mL) = Prescribed dose (mg) / Concentration (mg/mL)

= 1 mg / 0.4 mg/mL

= 2.5 mL.

View Question and Answer

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Exhibits Which actions should the nurse take to assure safety during morphine administration? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits Which 2 drugs would be the most appropriate to give the client now?

Correct Answer is ["A","E"]

Explanation

The nurse plans to administer naloxone 1 mg. The label of the 10 mL vial indicates that the drug concentration is "Naloxone 0.4 mg/mL. How many ml. should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)

Correct Answer is ["2.5"]

Explanation

The client is receiving fentanyl transdermal patch 25 mcg/hr. Which nursing intervention is most important for the nurse to initiate?

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Exhibits For each statement, click to indicate whether the statements by the student nurse indicate understanding or no understanding of naloxone. Each row must have one option selected.

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A client with type 2 diabetes mellitus is managed with glimepiride. The primary healthcare provider (HCP) adds a new prescription for injectable glucagon-like peptide 1 (GLP-1) receptor agonist. Which information is most important for the nurse to teach this client?

Exhibits

Which actions should the nurse take to assure safety during morphine administration? Select all that apply.