ATI Capstone Exam 2 Final | Nurselytic

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ATI Capstone Exam 2 Final Questions

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Question 1 of 5

A nurse is assessing a client 15 minutes after administering morphine sulfate 2 mg via IV push. The nurse should identify which of the following findings as an adverse effect of the medication?

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Correct Answer: B

Rationale: The correct answer is B: Respiratory rate 8/min. Morphine sulfate is an opioid that can cause respiratory depression as an adverse effect. A respiratory rate of 8/min is significantly below the normal range (12-20/min) and indicates respiratory depression, a serious adverse effect of morphine. This finding requires immediate intervention to prevent further complications such as respiratory arrest.

Choice A (Sleepy, but arousing when her name is called) is a common side effect of morphine but not necessarily an adverse effect requiring immediate intervention.

Choice C (Pain level of 6 on a scale from 0 to 10) is not indicative of an adverse effect of morphine.
The other choices are not provided, but they would be incorrect as they do not indicate a serious adverse effect of morphine sulfate.

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