Which of these situations would cause the nurse to hold a dose of morphine?
The temperature is above 100.4 degrees Fahrenheit (38 degrees Celsius).
The blood pressure is above 140 mm Hg systolic.
Respiratory rate of 10 breaths per minute with an oxygen saturation level of 86%.
The heart rate is above 90 beats per minute.
The Correct Answer is C
A) Elevated temperature is not a typical reason to withhold morphine unless there are other concerns, such as infection.
B) Elevated blood pressure alone is not a reason to withhold morphine, but it should be considered in the context of the overall clinical picture.
C) A respiratory rate of 10 breaths per minute with low oxygen saturation indicates respiratory depression, which is a significant concern and a reason to withhold morphine.
D) An elevated heart rate alone is not a reason to withhold morphine, but it should be considered in the context of the overall clinical picture.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.5"]
Explanation
- The formula is: (Desired dose / Available dose) x Quantity = Number of tablets - In this case: (10 mg / 20 mg) x 1 tablet = 0.5 tablet
- Round the answer to the tenth, or one decimal place, as instructed.
- The final answer is: 0.5 tablet
Correct Answer is B
Explanation
a) Tingling in the toes may be indicative of peripheral neuropathy but is not specifically related to elevated BUN and serum creatinine levels.
b) Elevated BUN and serum creatinine levels suggest potential renal impairment, and interpreting peak and trough levels of vancomycin is essential to assess the drug's impact on renal function.
c) Assessing urine output is important in evaluating renal function, but the specific action related to the elevated BUN and creatinine levels is to interpret vancomycin levels.
d) Consulting the provider about the need for a less nephrotoxic medication may be a consideration, but understanding the impact of vancomycin on renal function through peak and trough levels is a crucial initial step.
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