A nurse is assisting the RN with monitoring a client who has received IV morphine for a procedure to reduce a dislocated shoulder. What should the nurse watch for and inform the physician if it occurs?
a. Decreased respiratory rate to 8
b. Decreased heart rate to 69
c. Decreased diuresis of 30 cc per hour
d. Decreased blood pressure to 110/50
a. Decreased respiratory rate to 8
FEEDBACK:
a. Decreased respiratory rate to 8 is indicative of respiration depression, a side effect of opiate analgesics that can potentially lead to respiratory distress.
b. Decreased heart rate to 69 is an expected parameter with the use of IV opiates. .
c. Decreased diuresis of 30 cc per hour is normal urine output for an adult. .
d. Decreased blood pressure to 110/50 is an expected parameter with the use of IV opiates. .
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