The nurse is administering morphine to a trauma patient for acute pain. Before administering the morphine, what common adverse effect should the nurse inform the patient about?
A) Paresthesia in lower extremities
B) Occipital headache
C) Increased intracranial pressure
D) Drowsiness
D
Feedback:
Common adverse effects include dizziness, drowsiness, and visual changes. Morphine does not commonly cause paresthesia in the lower extremities, an occipital headache, or increased intracranial pressure.
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A child in the pediatric intensive care unit is started on cortisone. When the nurse enters the room to check his blood glucose, the parents are concerned that he is now a diabetic. Which response by the nurse is the most appropriate?
A. "Being critically ill can raise a patient's blood glucose." B. "I'm sorry; we should have been checking this all along." C. "Increased blood glucose can be a side effect of steroids." D. "The doctor is curious about how his glucose levels are."
The home health care nurse is visiting a family with a 3-year-old to observe a meal. The parent gives the child a plate with cup of pureed meat. What action by the nurse is best?
a. Document how well the child eats the serving of meat. b. Inquire if the child still drinks from a bottle between meals. c. Ask the parents what they serve the child for snacks. d. Provide teaching on the appropriate serving size for this child.
The behavior that would be considered inconsistent with the clinical picture of a client who is
becoming increasingly aggressive is a. pacing. b. sobbing inconsolably. c. rigid posture with a clenched jaw. d. staring with narrowed eyes into the eyes of another.
Helpful sources of information that the nurse may use in beginning to develop a teaching plan for patients having cancer diagnostic testing include:
1. other patients, visitors, or hospital workers who have been associated with some-one who has had cancer. 2. analysis of what the patient and family already know about prevention, detection, treatment, and outcomes. 3. American Cancer Society (ACS), National Cancer Institute, Oncology Nursing Society, VFW, or DAV. 4. supermarket tabloids or public books from the local library.