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.
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Correct Answer is A
Explanation
a. This is the correct answer. Oral acyclovir is considered safe during pregnancy and may be used to suppress outbreaks of genital herpes in pregnant women.
b. Using intravenous antiviral agents is typically reserved for severe cases and is not the first-line approach for suppressing outbreaks in pregnant women.
c. While topical acyclovir can be used for genital herpes outbreaks, it is not typically the first choice for suppression during pregnancy.
d. This statement is not accurate. Some antiviral medications, including oral acyclovir, are considered safe during pregnancy when the benefits outweigh the risks, especially in cases where there is a history of recurrent genital herpes.
Correct Answer is B
Explanation
a) Checking blood sugar once daily or more is a proactive and accurate self-management practice for individuals with diabetes.
b) Glipizide does not contain sulfa, so having a sulfa allergy is not a contraindication for taking this medication. The client needs clarification on this point.
c) Taking glipizide once daily with breakfast is a reasonable dosing schedule.
d) Having a glass of wine with dinner may be acceptable, but moderation and monitoring for interactions are advisable.
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