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Question ⬇

Physiological Integrity

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59. A client weighing 70 kg has received 10 mg of morphine sulfate (MS) IM for pain rated at 5/10 postappendectomy. Which outcome should a nurse expect?

Choices

Choices ⬆ ⬇

1. Blood pressure and pulse will increase.

2. Moderate pain will be relieved for 4 hours.

3. Dose is insufficient for the client's size.

4. Another dose will be needed in 2 hours.

Question  Hint

Hints ⬆ ⬇

Test-Taking Tip

Focus on two options with a time frame. Select the option with the longer lasting effect when the pain is moderate.

Content Area: Adult Health, Pain Control; Integrated Process: Nursing Process, Analysis; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Expected Effects/Outcomes

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Rationale ⬆

Physiological Integrity

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2.  

Answer 1 is incorrect because blood pressure and pulse should decrease since MS is a vasodilator. Answer 2 is correct because, without any further client information, this is an appropriate dosage for relief of moderate pain. Answer 3 is incorrect because the dose is sufficient for a client whose weight is 154 lb. Answer 4 is incorrect because the pain relief should be near 4 hours.

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