After morphine administration the nurse should closely observe for the following sign of side effect:

Correct Answer: B

Rationale: The correct answer is B: Respiratory depression. Morphine is an opioid that can cause respiratory depression as a side effect by suppressing the respiratory drive in the brainstem. This can lead to decreased breathing rate and depth, potentially causing hypoxia and respiratory failure. It is crucial for the nurse to closely monitor the patient's respiratory status after morphine administration to prevent any complications. Incorrect choices: A: Nausea - Nausea is a common side effect of opioids like morphine, but it is not as critical or life-threatening as respiratory depression. C: Constipation - Constipation is another common side effect of opioids due to decreased gastrointestinal motility, but it is not an immediate concern compared to respiratory depression. D: Restlessness - Restlessness is not a common side effect of morphine and is not as serious as respiratory depression in terms of patient safety.

Correct Answer: E

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: B

Rationale: Step-by-step rationale: 1. Pregnant individuals are recommended to receive the influenza vaccine to protect both themselves and the unborn baby. 2. Pregnancy increases the risk of severe complications from influenza. 3. The vaccine is safe for pregnant women and can be given at any stage of pregnancy. 4. Influenza vaccination during pregnancy also provides passive immunity to the newborn. Summary of other choices: A: The patient who is taking care of her son with HIV - While this patient may benefit from the vaccine, it is not a direct indication for eligibility. C: The patient with an egg allergy - Most influenza vaccines are grown in eggs, making this patient ineligible for those vaccines. D: The child who is 18 months old - Children under 6 months old are too young for the influenza vaccine, and 18 months is not within the recommended age range.

Correct Answer: A

Rationale: The correct answer is A: Docusate sodium. It is a stool softener that is safe for use during pregnancy and helps to alleviate constipation without causing any harm to the fetus. Docusate sodium works by increasing the amount of water absorbed in the intestine, making the stool softer and easier to pass. Choice B: Magnesium citrate is a laxative that can cause dehydration and electrolyte imbalances, which can be risky during pregnancy. Choice C: Castor oil is a strong laxative that can lead to uterine contractions, potentially causing premature labor or miscarriage during pregnancy. Choice D: Mineral oil can interfere with the absorption of fat-soluble vitamins and should be avoided during pregnancy.

Correct Answer: D

Rationale: The correct answer is D: Contact the health care provider. When a patient receiving magnesium sulfate intravenously shows signs of hypermagnesemia such as 2+ patellar reflexes and negative ankle clonus, it indicates a potential magnesium toxicity. Contacting the healthcare provider is crucial as they can assess the situation, recommend appropriate interventions, adjust the magnesium sulfate dosage, or provide further instructions. Obtaining a stat magnesium sulfate level (choice B) may confirm the high magnesium levels but does not provide immediate guidance on managing the patient. Discontinuing magnesium sulfate (choice C) without consulting the healthcare provider can lead to abrupt changes in the patient's condition. Choice A does not address the issue of potential magnesium toxicity and is not the most appropriate action in this scenario.