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    Pharmacology proctored exam (exemplify)

    The nurse is planning to administer morphine to an adult client. Which clinical finding should concern the nurse?

    Explanation & Rationale

    A. The client has a pain level of 10/10: Severe pain is an appropriate indication for morphine administration. Morphine, a potent opioid agonist, binds to mu receptors in the central nervous system to provide analgesia. High pain intensity alone does not contraindicate administration but requires careful dosing and monitoring. B. The client has an addiction to opioids: A history of opioid use disorder is a significant concern because these clients are at increased risk for tolerance, dependence, and potential misuse. Morphine administration requires careful monitoring, consideration of alternative pain management strategies, and adherence to opioid stewardship guidelines to prevent overdose or relapse. C. The client's blood pressure is 150/90: Mild to moderate hypertension is not an absolute contraindication for morphine. While morphine can cause vasodilation and hypotension, elevated blood pressure does not typically pose an immediate risk to opioid administration, though monitoring is warranted. D. The client is experiencing loose stools: Diarrhea is not a contraindication for morphine; in fact, opioids often cause constipation due to decreased gastrointestinal motility. Loose stools do not pose a direct risk related to morphine’s pharmacologic effects and do not necessitate withholding the drug.

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