Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Which of these situations would cause the nurse to hold a dose of morphine?
A. The temperature is above 100.4 degrees Fahrenheit (38 degrees Celsius).
Elevated temperature is not a typical reason to withhold morphine unless there are other concerns, such as infection.
B. The blood pressure is above 140 mm Hg systolic.
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. Respiratory rate of 10 breaths per minute with an oxygen saturation level of 86%.
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. The heart rate is above 90 beats per minute.
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.
This question is an excerpt from Nurse Dive's nursing test bank - Ramsussen Section 4 Module 11. Pharmocology For Professional Nursing Proctored Exam. Take the full exam now
Full Explanation
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.
Similar Questions
A client who has erectile dysfunction asks a nurse whether sildenafil would be a suitable medication. Which aspect of this client's history would be of most concern?
A. Taking finasteride
Sildenafil and finasteride can both lower blood pressure, and concomitant use may increase the risk of hypotension.
B. Occasional use of nitroglycerin
Nitroglycerin use is a contraindication for sildenafil due to the risk of severe hypotension.
C. Benign prostatic hypertrophy
Benign prostatic hypertrophy alone may not be a contraindication for sildenafil use.
D. Mild hypertension
Mild hypertension alone may not be a contraindication for sildenafil, but it should be considered in the overall assessment of cardiovascular health.
Full Explanation
A) Sildenafil and finasteride can both lower blood pressure, and concomitant use may increase the risk of hypotension.
B) Nitroglycerin use is a contraindication for sildenafil due to the risk of severe hypotension.
C) Benign prostatic hypertrophy alone may not be a contraindication for sildenafil use.
D) Mild hypertension alone may not be a contraindication for sildenafil, but it should be considered in the overall assessment of cardiovascular health.
Which are preventable causes of medication errors? (Select all that apply.)
A. Writing a prescription that is unreadable.
Unreadable prescriptions can lead to medication errors, so clear and legible prescriptions are essential.
B. Using barcode scanning to verify the client's name and birthdate.
Using barcode scanning can help prevent errors by verifying the client's identity and ensuring the right medication is administered.
C. Complicated drugs with names that look or sound alike.
Complicated drug names that look or sound alike can contribute to errors, making it important to use caution and double-check.
D. Confusing drugs with similar packaging.
Confusing drugs with similar packaging is a preventable cause of errors, and efforts should be made to differentiate packaging.
E. Giving a drug intravenously instead of intramuscularly.
Administration route errors, like giving a drug intravenously instead of intramuscularly, are preventable through proper verification and adherence to procedures.
Full Explanation
A) Unreadable prescriptions can lead to medication errors, so clear and legible prescriptions are essential.
B) Using barcode scanning can help prevent errors by verifying the client's identity and ensuring the right medication is administered.
C) Complicated drug names that look or sound alike can contribute to errors, making it important to use caution and double-check.
D) Confusing drugs with similar packaging is a preventable cause of errors, and efforts should be made to differentiate packaging.
E) Administration route errors, like giving a drug intravenously instead of intramuscularly, are preventable through proper verification and adherence to procedures.
The nurse will include which information when teaching a client about hydroxyzine?
A. The drug will reduce redness and itching but not edema.
Hydroxyzine is an antihistamine that can reduce redness, itching, and edema.
B. The client should report nausea while taking the medication.
While nausea can be a side effect, it is not the primary concern with hydroxyzine.
C. The client should avoid drinking alcohol while taking the drug.
Avoiding alcohol is important as it can enhance the sedative effects of hydroxyzine.
D. This medication is not likely to cause sedation.
Hydroxyzine is known for its sedative effects, and sedation is a common side effect that the client should be aware of.
Full Explanation
A) Hydroxyzine is an antihistamine that can reduce redness, itching, and edema.
B) While nausea can be a side effect, it is not the primary concern with hydroxyzine.
C) Avoiding alcohol is important as it can enhance the sedative effects of hydroxyzine.
D) Hydroxyzine is known for its sedative effects, and sedation is a common side effect that the client should be aware of.