Which finding is an adverse effect associated with morphine and ...

[Mr.Thesaxman]

Which finding is an adverse effect associated with morphine and would be the priority if present?
 
  1. The patient is very restless and cannot lie still.
  2. The patient has not had a bowel movement in 3 days.
  3. The patient's respiratory effort is slow and shallow.
  4. The patient says, I can't live without my morphine patches.

Question 2

The patient is being discharged on an anticoagulant following a valve replacement. The nurse has completed medication education and determines that learning has occurred when the patient makes which statement?
 
  1. I should wear a MedicAlert bracelet that says I'm on an anticoagulant.
  2. I need to eat more protein while I am taking this medication.
  3. I can take enteric-coated aspirin but not plain aspirin for my arthritis.
  4. I must limit my intake of vitamin C while I'm on warfarin (Coumadin).

[Rilsmarie951]

Answer to Question 1

3
Rationale 1: Restlessness may occur but is not of highest priority.
Rationale 2: Constipation may occur but is not of highest priority.
Rationale 3: Respiratory depression may result in death and is the highest priority assessment finding.
Rationale 4: Psychological dependence may occur but is not of highest priority.
Global Rationale: Respiratory depression may result in death and is the highest priority assessment finding. Restlessness, constipation, and psychological dependence may occur but are not of highest priority.

Answer to Question 2

1
Rationale 1: Patients on anticoagulant therapy should wear a MedicAlert bracelet.
Rationale 2: There is no reason to increase protein intake while taking anticoagulants.
Rationale 3: Aspirin is not allowed when a patient is on anticoagulant therapy.
Rationale 4: The intake of vitamin K, not vitamin C must be limited when a patient receives an anticoagulant.
Global Rationale: Patients on anticoagulant therapy should wear a medic alert bracelet. Aspirin is not allowed when a patient is on anticoagulant therapy. There is no reason to increase protein intake while taking anticoagulants. The intake of vitamin K, not vitamin C must be limited when a patient receives an anticoagulant.

[Mr.Thesaxman]

Both answers were spot on, thank you once again

[Rilsmarie951]

Great! Please up vote