A client receives a prescription for morphine via patient-controlled analgesia (PCA). Before beginning administration of this medication, what should the nurse assess first?a. Temperatureb. Neurological statusc. Respirationsd. Urinary output

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1. A client receives a prescription for morphine via patient-controlled analgesia (PCA). Before beginning administration of this medication, what should the nurse assess first?

a. Temperature

b. Neurological status

c. Respirations

d. Urinary output

1. 70-year-old male, admitted with metastatic bone cancer, weighing 80 lbs, dehydrated, and bed bound

2. 62-year-old female, admitted because of a brain attack (CVA), left hemiplegia, incontinent of urine and stool, and transfers to a chair via a mechanical lift

3. 25-year-old male, diagnosed with sepsis, average height and weight, developmentally disabled, unable to communicate except with grunts, incontinent of urine, and ambulatory

4. 78-year-old female, admitted to the hospital for knee replacement surgery, no sensory impairment, continent, and ambulatory

Risk factors for pressure ulcers include inadequate nutrition, dehydration, pain, decreased subcutaneous fat, and confinement to bed, making the 70-year-old male at greatest risk. An inability to sense or move the left side will inhibit changing positions without assistance, making the 62-year-old female post CVA next at risk. Urine and fecal incontinence may result in skin breakdown in the perineal and sacral areas. The 25-year-old male client is at some risk by not being able to communicate verbally and having urinary incontinence. The client's nutritional status is acceptable and client is able to move. The 78-year-old female client has minimal risk factors. Because she is scheduled for a knee replacement, which is an elective procedure, it can be assumed that her general health is within acceptable limits. Also, she is continent and ambulatory.
B!

The current polio vaccine is the inactivated polio vaccine (IPV; Salk vaccine) that is injectable. Hib is the Haemophilus influenzae type b vaccine. OPV is the oral polio vaccine (Sabin vaccine); it is no longer administered because it is related to vaccine-associated polio paralysis. However, it is used in the worldwide effort to eliminate the virus in countries where it is endemic. DTaP is the diphtheria, tetanus, and acellular pertussis vaccine.
B!

Thiazide diuretics are potassium-depleting agents; broccoli provides 267 mg of potassium per 100 grams. Apples provide 80 to 110 mg of potassium per 100 grams of fruit. Cherries provide 191 mg of potassium per 100 g of fruit. Cauliflower provides 206 mg of potassium per 100 g.
C!

The nurse must be especially alert to any changes in respirations, because morphine decreases the respiratory center function in the brain. An order for morphine should be questioned if the baseline respirations are less than 12 per minute. Neurological status along with pulse and blood pressure would be a priority assessment after respiratory rate. Measurements of temperature and urinary output are part of the overall client assessment but not a priority with morphine.

A client receives a prescription for morphine via patient-controlled analgesia (PCA). Before beginning administration of this medication, what should the nurse assess first?a. Temperatureb. Neurological statusc. Respirationsd. Urinary output

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A client receives a prescription for morphine via patient-controlled analgesia (PCA). Before beginning administration of this medication, what should the nurse assess first?a. Temperatureb. Neurological statusc. Respirationsd. Urinary output

❤ If you liked Fatskills, consider supporting us by checking out The Life Manuals You Never Got.

About | Explore | User Guide | Topics | Subjects | Doubt Solver | Career Aptitude Test | Answers | Free Tools | What Should We Know? Privacy | Terms |

Without work one finishes nothing. - Ralph Waldo Emerson© 2026 Fatskills.com

All trademarks, logos and brand names are the property of their respective owners. All company, product and service names used in this website are for identification purposes only. Use of these names, trademarks and brands does not imply endorsement.

About | Explore | User Guide | Topics | Subjects | Doubt Solver | Career Aptitude Test | Answers | Free Tools | What Should We Know?
Privacy | Terms |

Without work one finishes nothing. - Ralph Waldo Emerson
© 2026 Fatskills.com