Nokea
A client receives morphine sulfate after being admitted to the emergency room in acute respiratory distress. He is very anxious, edematous, and cyanotic. Which of the following should the nurse recognize as the desired response to the medication?
- A. Increase in pulse pressure.
- B. Decrease in anxiety.
- C. Depression of the sympathetic nervous system.
- D. Enhanced ventilation and decreased cyanosis.
Correct Answer: B
Rationale: morphine sulfate is administered to minimize anxiety associated with respiratory distress from pulmonary edema
You may also like to solve these questions
The nurse and a student nurse are discussing the specific points about infants born to HBsAg-positive mothers. Which of these comments by the student indicates a need for clarification of information?
- A. The infant will get the hepatitis B vaccine and the hepatitis B immune globulin within 12 hours at birth at separate injection sites.
- B. The second dose can be given at 1 to 2 months of age.
- C. The third dose should be given at least 16 weeks from the second dose.
- D. The last dose in the series is not to be given before age 24 weeks.
Correct Answer: C
Rationale: The third dose should be given at least 16 weeks from the first dose and 8 weeks from the second dose. All of the other options are correct information.
A nurse is assessing a patient in the rehab unit at shift change. The patient has suffered a TBI 3 weeks ago. Which of the following is the most distinguishing characteristic of a neurological disturbance?
- A. LOC (level of consciousness)
- B. Short term memory
- C. #NAME?
- D. #NAME?
Correct Answer: A
Rationale: LOC is the most critical indicator of impaired neurological capabilities.
A client is discharged following hospitalization for congestive heart failure. The nurse teaching the family suggests they encourage the client to rest frequently in which of the following positions?
- A. High Fowler's
- B. Supine
- C. Left lateral
- D. Low Fowler's
Correct Answer: A
Rationale: High Fowler's. This position decreases cardiac workload and facilitates breathing.
The nurse is caring for a client with a history of breast cancer.
- A. Which symptom should the nurse report immediately for a client with a history of breast cancer?
- B. Mild fatigue after chemotherapy.
- C. A new lump in the axillary region.
- D. Occasional nausea.
- E. Hair loss.
Correct Answer: B
Rationale: A new lump in the axillary region may indicate lymph node metastasis, requiring immediate evaluation. Fatigue, nausea, and hair loss are expected chemotherapy side effects.
The client is taking streptomycin, isoniazid, and rifampin (Rimactane). Which statement indicates toxicity to isoniazid?
- A. My ears ring all the time.
- B. I have sharp pains in my legs.
- C. My urine is orange-colored.
- D. I'm having trouble at traffic lights.
Correct Answer: B
Rationale: Isoniazid can cause peripheral neuropathy, manifesting as sharp leg pains. Tinnitus is linked to streptomycin, orange urine to rifampin, and color vision issues are unrelated.