How should the nurse monitor for possible endocrine effects in the client receiving frequent doses of large amounts of morphine for severe pain?
A. Measure intake and output.
B. Take the client's temperature every 4 hours.
C. Auscultate bowel sounds in all four quadrants.
D. Ask the client to rate pain on a visual analog scale.
A
Opiates, particularly morphine, increase the release of vasopressin (antidiuretic hormone), de-creasing urine output.
You might also like to view...
The client is receiving methimazole (Tapazole). Which statement by the client indicates good understanding of teaching regarding this medication?
a. "If I become pregnant, I need to notify my health care provider immediately." b. "Liver problems can occur with this drug so I need to report jaundice." c. "I will take my pulse daily, and if it is too fast, I will call my provider." d. "This medication may cause dyspnea or vertigo. I will be careful with activity."
A patient is in the operating room holding area and tells the nurse that he changed his mind and does not want the procedure. Which of the following should the nurse do?
1. Contact the surgeon and implement steps to cancel the procedure. 2. Explain to the patient that he has already made his decision and cannot change his mind. 3. Ask the surgeon to explain to the patient why he needs the surgery. 4. Document that the preoperative anesthesia has made the patient confused.
Duffy believes caring relationships are often hidden in the daily work of nursing
Indicate whether this statement is true or false.
The school nurse overhears a conversation among adolescent girls. Which comment would be of most concern related to the nutritional health of these adolescents?
A) "I hate eating with my family. I would much rather snack all day." B) "I had lunch with my boyfriend before his game and all he ate were carbohydrates." C) "I am feeling so fat. I think I need to exercise a few extra hours today." D) "I don't really like it, but I have been drinking lots of skim milk."