Exhibits Which actions should the nurse take to assure safety during morphine administration? Select all that apply.

A. Ask the client about other medications she takes: Knowing the client’s full medication list helps identify potential drug interactions with morphine, such as other CNS depressants, which can increase the risk of respiratory depression and sedation, ensuring safer administration. B. Suction the client to clear the airway: Suctioning is an intervention used if airway obstruction occurs, but it is not a routine action during morphine administration. It is reactive rather than preventive and should be performed only if the client shows signs of airway compromise. C. Take an initial respiratory rate: Monitoring respiratory rate before and during morphine infusion is essential because opioids can depress respiration. Baseline respiratory assessment allows early detection of respiratory depression, enabling prompt intervention. D. Have a manual resuscitation bag at the bedside: A manual resuscitation bag (Ambu bag) must be immediately available to assist ventilation if the client develops respiratory depression or apnea during opioid administration, ensuring rapid emergency response. E. Perform a 12-lead electrocardiogram: A 12-lead ECG is not routinely indicated solely for morphine administration unless the client has a cardiac condition requiring monitoring. It is not a standard safety measure related to morphine infusion. F. Restrain the client with soft restraints: Physical restraints are not routinely used for clients receiving morphine unless there is a specific behavioral risk or danger to self or others. Restraints can increase fall risk and are not a standard safety action during opioid administration.