ATI PN Pharmacology 2020 Proctored Exam
A nurse is assisting in the care of a client who is receiving morphine via a continuous epidural infusion.Which of the following findings should the nurse report to the provider immediately?
Explanation & Rationale
Choice A rationale:A respiratory rate of 10/min is lower than the normal range (12-20 breaths per minute for adults), indicating respiratory depression, which is a serious side effect of morphine and should be reported immediately.Choice B rationale:Facial flushing is a common side effect of morphine due to histamine release but it’s not life-threatening.Choice C rationale:Constipation is a common side effect of morphine and can be managed with laxatives and diet.Choice D rationale:Blood pressure 88/56 mm Hg is lower than the normal range (90/60mmHg to 120/80mmHg), indicating hypotension, which can be a side effect of morphine but it’s not as immediately life-threatening as respiratory depression.
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