What might happen if no action is taken quickly for a client with a respiratory rate of 4 breaths/minute after receiving morphine sulfate?

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Question 1 of 5

What might happen if no action is taken quickly for a client with a respiratory rate of 4 breaths/minute after receiving morphine sulfate?

Correct Answer: B

Rationale: The correct answer is B: Respiratory arrest. Morphine sulfate is a central nervous system depressant that can cause respiratory depression, leading to dangerously low respiratory rates. A respiratory rate of 4 breaths/minute indicates severe respiratory depression, which can progress to respiratory arrest if not addressed promptly. Without intervention, the client may stop breathing altogether, leading to respiratory failure and potential death. Incorrect choices: A: Asthma attack - Morphine sulfate does not directly cause asthma attacks. C: Seizure - Respiratory depression from morphine overdose is more likely to cause respiratory arrest than a seizure. D: Wake up on her own - Severe respiratory depression is a medical emergency and the client will not wake up without intervention.

Question 2 of 5

What statement about bone marrow transplantation is incorrect?

Correct Answer: A

Rationale: The correct answer is A because bone marrow transplantation is performed under general anesthesia, not local anesthesia. Local anesthesia would not provide sufficient pain control for the procedure, which involves harvesting marrow from the iliac crest. The other choices (B, C, D) are correct: B) Bone marrow is typically mixed with heparin to prevent clotting, C) The iliac crest is a common site for aspiration, and D) Cyclophosphamide is often given before transplantation to suppress the recipient's immune system.

Question 3 of 5

Which foods should a client practicing Islam avoid?

Correct Answer: D

Rationale: The correct answer is D: Pork products like bacon. In Islam, consuming pork is strictly forbidden as it is considered impure. This prohibition is clearly stated in the Quran. Muslims are required to avoid all forms of pork, including bacon, ham, and any products derived from pigs. Shrimps and crabs (choice A) are permissible seafood according to Islamic dietary laws. Wine and alcoholic drinks (choice B) are also prohibited in Islam. Fish with scales (choice C) are allowed to be consumed by Muslims as long as they are Halal. In summary, the other choices are incorrect because they do not align with the specific dietary restrictions outlined in Islamic teachings.

Question 4 of 5

What happens to BP reading when the arm is above the heart?

Correct Answer: B

Rationale: When the arm is above the heart, the blood pressure reading will be falsely low due to the effects of gravity. Gravity causes blood to pool in the arm, reducing the pressure sensed by the blood pressure cuff. This results in an inaccurate reading. Therefore, choice B (False Low) is correct. Choice A (False High) is incorrect because blood pressure does not increase when the arm is above the heart. Choice C (Undetermined) is incorrect as the effect of gravity on blood pressure is known. Choice D (Slightly increased by 2-3 mmHg) is also incorrect as blood pressure is actually lower in this position.

Question 5 of 5

What nursing measure is most helpful for eliminating intestinal gas before inserting a rectal tube?

Correct Answer: A

Rationale: The correct answer is A: Ambulate the client in the hall. Ambulating the client helps to stimulate peristalsis and promote the movement of gas through the intestines, making it easier to eliminate gas before inserting a rectal tube. Walking also helps in releasing trapped gas. B: Providing a carbonated beverage may actually increase gas production, making it counterproductive in this situation. C: Restricting the intake of solid food may not directly help in eliminating gas, as gas is mainly produced during digestion. D: Administering a narcotic analgesic may have a constipating effect, which can further exacerbate the issue of gas retention.

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