A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Prolonged wound healing
Nausea
Stevens-Johnson syndrome
Renal failure
The Correct Answer is B
Rationale:
A. This is not a common adverse effect associated with morphine.
B. Nausea is a common adverse effect of morphine and should be monitored for, particularly in pediatric patients.
C. Stevens-Johnson syndrome is a severe allergic reaction and is not typically associated with morphine.
D. While morphine can cause urinary retention, it is not typically associated with renal failure.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Obtaining an x-ray of the child's neck may be necessary for diagnosis, but ensuring immediate safety and infection control measures take precedence.
B. Administering intravenous antibiotics is important in the treatment of epiglottitis but is not the immediate priority.
C. Initiating droplet precautions is crucial in this case to prevent the spread of infection to others but is not as important as securing the airway.
D. Placing intubation equipment at the bedside is the first priority because epiglottitis can cause airway obstruction and respiratory distress.
Correct Answer is A
Explanation
Rationale:
A. This is the priority action to confirm the correct placement of the NG tube in the stomach before administering the enteral feeding.
B. This should only be done after confirming proper tube placement.
C. Flushing the tube is necessary, but it should occur after confirming placement.
D. This should occur after confirming proper tube placement.
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