FINAL REVIEW RNSG 1430 exam wit P P P P P
h complete solutions P P
The nurse is assessing a patients functional ability. Which patient best d
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emonstrates the P
definition of functional ability? P P P
a. Considers self as a healthy individual; uses cane for stability
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b. College educated; travels frequently; can balance a checkbook
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c. Works out daily, reads well, cooks, and cleans house on the weekends
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d. Healthy individual, volunteers at church, works part time, takes care
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of family and
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house - ANSWER-D P P
Functional ability refers to the individuals ability to perform the normal
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dail\ activities P
required to meet basic needs; fulfill usual roles in the family, workplace,
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Pand community; P
and maintain health and well-
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being. The other options are good; however, healthy
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individual, church volunteer, part time worker, and the patient who take
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s care of the family
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and house fully meets the criteria for functional ability.
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65 year old woman has fallen while sweeping her driveway, sustaining a
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tissue injury. She describes her condition as an aching, throbbing back.
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Which type of pain are the complaints most indicative of.
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a. Neuropathic
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b. Nociceptive
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c. Chronic
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d. Mixed pain - ANSWER-B
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A 70 year old who is interested in non drug, mind-
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Pbody therapies, self management and alternative strategies to deal with
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joint pain from rheumatoid arthritis. Which options should you suggest
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for her plan of care considering her wishes
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a. Using a stationary bicycle and free weights and attending a spinning c
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lass P
b. Using mind-body therapies like music
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c. Drinking chamomile tea and applying ice /or heat
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, FINAL REVIEW RNSG 1430 exam wit P P P P P
h complete solutions P P
d. Receiving acupuncture and attending church services - ANSWER-B
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Post op surgical patients should be given alternating doses of acetamino
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phen and which med throughout the post op course, unless contraindicat
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ed P
a. Antihistamine
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b. Local anesthetic
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c. Opioids
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d. NSAID's - ANSWER-D
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Which of the following is a priority for a nurse to include in a teaching p
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lan for a patient who desires self-
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Pmanagement and alternative strategies? P P P P
a. Body alignment and superficial heat and cooling
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b. PCA pump
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c. Neurostimulation
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d. Peripheral nerve blocks - ANSWER-A
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Following the initiation of pain management plan, pain should be reasse
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ssed and documented on a regular basis as a way to evaluate the effectiv
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eness of treatments. Pain should be reassessed at which minimum interv
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al (select all that apply)
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a. With each new report of pain
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b. Before and after administration of narcotic analgesics
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c. Every 10 min.
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d. Every shift - ANSWER-A,B
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The nurse is preparing to administer celecoxib to a patient. What medic
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ation taken by the patient should the nurse monitor for increasing the ris
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k of adverse effects?
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a. Aspirin
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b. Scopolamine
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c. Theophylline
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d. Acetaminophen - ANSWER-A
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, FINAL REVIEW RNSG 1430 exam wit P P P P P
h complete solutions P P
After administering acetaminophen with oxycodone (Percocet) for pain
P P P P P P P
, which intervention would be of highest priority for the nurse to comple
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te before leaving the patient's room?
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a. Ensure that the side rails are raised.
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b. Leave the overbed light on at low setting.
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c. Offer to turn on the television to provide distraction.
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d. Ensure that documentation of intake and output is accurate. -
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PANSWER-A
Which assessment is of highest priority for the nurse to complete before
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administration of morphine? P P P
a. Pain rating
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b. Blood pressure
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c. Respiratory rate
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d. Level of consciousness - ANSWER-C
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A patient has been prescribed a nonsteroidal anti inflammatory medicati
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on (NSAID). Which effect should the nurse instruct the patient to imme
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diately report? P P
a. Blurred vision
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b. Nasal stuffiness
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c. Urinary retention
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d. Black or tarry stools - ANSWER-D
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Which nursing intervention is most appropriate when preparing to admi
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nister an opioid analgesic agent to a patient in pain?
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a. Give the medication on an empty stomach.
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b. Count the number of doses on hand before administration.
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c. Give the medication with a glass of juice or other cold beverage.
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d. Assess the patient for allergies to aspirin before administration. -
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ANSWER-B
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A patient is receiving morphine sulfate via patient-
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controlled analgesia (PCA). What nursing action is most effective to red
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uce the risk of adverse effects?
P P P P P P
, FINAL REVIEW RNSG 1430 exam wit P P P P P
h complete solutions P P
a. Instruct the patient not to push the button too frequently.
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b. Teach the caregiver not to push the button for the patient.
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c. Ask the patient to do deep breathing exercises every hour.
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d. Administer medications to prevent the occurrence of diarrhea. -
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ANSWER-B
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A patient with osteoarthritis has been taking ibuprofen 400 mg every 8 h
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ours. The patient states that the drug does not seem to work as well as it
P P P P P P P P P P P P P P P P
used to in controlling the pain. The most appropriate response to the pati
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ent is based on what knowledge?
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a. Another NSAID may be indicated because of individual variations in
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response to drug therapy. P P P P
b. It may take several months for NSAIDs to reach therapeutic levels in t
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he blood and thus be effective.
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c. If NSAIDs are not effective in controlling symptoms, systemic cortic
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osteroids are the next line of therapy. P P P P P P P
d. The patient is probably not compliant with the drug therapy, and there
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fore the nurse must initially assess the patient's knowledge base and initi
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ate appropriate teaching. - ANSWER-A
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When assessing a patient receiving morphine sulfate 2 mg every 10 min
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utes via PCA pump, the nurse should take action as soon as the patient's
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respiratory rate drops down to or below which parameter? P P P P P P P P P
a. 16 breaths/min
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b. 14 breaths/min
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c. 12 breaths/min
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d. 10 breaths/min - ANSWER-C
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Which clinical manifestation should the nurse attribute to adverse effect
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s of morphine sulfate administered via PCA?
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a. Diarrhea
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b. Urinary incontinence
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c. Nausea and vomiting
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d. Increased blood pressure - ANSWER-C
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h complete solutions P P
The nurse is assessing a patients functional ability. Which patient best d
P P P P P P P P P P P
emonstrates the P
definition of functional ability? P P P
a. Considers self as a healthy individual; uses cane for stability
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b. College educated; travels frequently; can balance a checkbook
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c. Works out daily, reads well, cooks, and cleans house on the weekends
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d. Healthy individual, volunteers at church, works part time, takes care
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of family and
P P
house - ANSWER-D P P
Functional ability refers to the individuals ability to perform the normal
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dail\ activities P
required to meet basic needs; fulfill usual roles in the family, workplace,
P P P P P P P P P P P
Pand community; P
and maintain health and well-
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being. The other options are good; however, healthy
P P P P P P P
individual, church volunteer, part time worker, and the patient who take
P P P P P P P P P P
s care of the family
P P P P
and house fully meets the criteria for functional ability.
P P P P P P P P
65 year old woman has fallen while sweeping her driveway, sustaining a
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tissue injury. She describes her condition as an aching, throbbing back.
P P P P P P P P P P P P
Which type of pain are the complaints most indicative of.
P P P P P P P P P
a. Neuropathic
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b. Nociceptive
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c. Chronic
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d. Mixed pain - ANSWER-B
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A 70 year old who is interested in non drug, mind-
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Pbody therapies, self management and alternative strategies to deal with
P P P P P P P P P P
joint pain from rheumatoid arthritis. Which options should you suggest
P P P P P P P P P P
for her plan of care considering her wishes
P P P P P P P P
a. Using a stationary bicycle and free weights and attending a spinning c
P P P P P P P P P P P P
lass P
b. Using mind-body therapies like music
P P P P P P
c. Drinking chamomile tea and applying ice /or heat
P P P P P P P P P
, FINAL REVIEW RNSG 1430 exam wit P P P P P
h complete solutions P P
d. Receiving acupuncture and attending church services - ANSWER-B
P P P P P P P P
Post op surgical patients should be given alternating doses of acetamino
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phen and which med throughout the post op course, unless contraindicat
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ed P
a. Antihistamine
P P
b. Local anesthetic
P P P
c. Opioids
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d. NSAID's - ANSWER-D
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Which of the following is a priority for a nurse to include in a teaching p
P P P P P P P P P P P P P P P
lan for a patient who desires self-
P P P P P P
Pmanagement and alternative strategies? P P P P
a. Body alignment and superficial heat and cooling
P P P P P P P P
b. PCA pump
P P P
c. Neurostimulation
P P
d. Peripheral nerve blocks - ANSWER-A
P P P P P
Following the initiation of pain management plan, pain should be reasse
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ssed and documented on a regular basis as a way to evaluate the effectiv
P P P P P P P P P P P P P
eness of treatments. Pain should be reassessed at which minimum interv
P P P P P P P P P P
al (select all that apply)
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a. With each new report of pain
P P P P P P P
b. Before and after administration of narcotic analgesics
P P P P P P P P
c. Every 10 min.
P P P P
d. Every shift - ANSWER-A,B
P P P P
The nurse is preparing to administer celecoxib to a patient. What medic
P P P P P P P P P P P
ation taken by the patient should the nurse monitor for increasing the ris
P P P P P P P P P P P P
k of adverse effects?
P P P P
a. Aspirin
P P
b. Scopolamine
P P
c. Theophylline
P P
d. Acetaminophen - ANSWER-A
P P P
, FINAL REVIEW RNSG 1430 exam wit P P P P P
h complete solutions P P
After administering acetaminophen with oxycodone (Percocet) for pain
P P P P P P P
, which intervention would be of highest priority for the nurse to comple
P P P P P P P P P P P P
te before leaving the patient's room?
P P P P P
a. Ensure that the side rails are raised.
P P P P P P P P
b. Leave the overbed light on at low setting.
P P P P P P P P P
c. Offer to turn on the television to provide distraction.
P P P P P P P P P P
d. Ensure that documentation of intake and output is accurate. -
P P P P P P P P P P
PANSWER-A
Which assessment is of highest priority for the nurse to complete before
P P P P P P P P P P P P
administration of morphine? P P P
a. Pain rating
P P P
b. Blood pressure
P P
c. Respiratory rate
P P P
d. Level of consciousness - ANSWER-C
P P P P P
A patient has been prescribed a nonsteroidal anti inflammatory medicati
P P P P P P P P P
on (NSAID). Which effect should the nurse instruct the patient to imme
P P P P P P P P P P P
diately report? P P
a. Blurred vision
P P P
b. Nasal stuffiness
P P P
c. Urinary retention
P P P
d. Black or tarry stools - ANSWER-D
P P P P P P
Which nursing intervention is most appropriate when preparing to admi
P P P P P P P P P
nister an opioid analgesic agent to a patient in pain?
P P P P P P P P P P
a. Give the medication on an empty stomach.
P P P P P P P P
b. Count the number of doses on hand before administration.
P P P P P P P P P P
c. Give the medication with a glass of juice or other cold beverage.
P P P P P P P P P P P P P
d. Assess the patient for allergies to aspirin before administration. -
P P P P P P P P P P
ANSWER-B
P
A patient is receiving morphine sulfate via patient-
P P P P P P P
controlled analgesia (PCA). What nursing action is most effective to red
P P P P P P P P P P
uce the risk of adverse effects?
P P P P P P
, FINAL REVIEW RNSG 1430 exam wit P P P P P
h complete solutions P P
a. Instruct the patient not to push the button too frequently.
P P P P P P P P P P P
b. Teach the caregiver not to push the button for the patient.
P P P P P P P P P P P P
c. Ask the patient to do deep breathing exercises every hour.
P P P P P P P P P P
d. Administer medications to prevent the occurrence of diarrhea. -
P P P P P P P P P
ANSWER-B
P
A patient with osteoarthritis has been taking ibuprofen 400 mg every 8 h
P P P P P P P P P P P P
ours. The patient states that the drug does not seem to work as well as it
P P P P P P P P P P P P P P P P
used to in controlling the pain. The most appropriate response to the pati
P P P P P P P P P P P P
ent is based on what knowledge?
P P P P P P
a. Another NSAID may be indicated because of individual variations in
P P P P P P P P P P P
response to drug therapy. P P P P
b. It may take several months for NSAIDs to reach therapeutic levels in t
P P P P P P P P P P P P P
he blood and thus be effective.
P P P P P P
c. If NSAIDs are not effective in controlling symptoms, systemic cortic
P P P P P P P P P P
osteroids are the next line of therapy. P P P P P P P
d. The patient is probably not compliant with the drug therapy, and there
P P P P P P P P P P P P
fore the nurse must initially assess the patient's knowledge base and initi
P P P P P P P P P P P
ate appropriate teaching. - ANSWER-A
P P P P
When assessing a patient receiving morphine sulfate 2 mg every 10 min
P P P P P P P P P P P
utes via PCA pump, the nurse should take action as soon as the patient's
P P P P P P P P P P P P P P
respiratory rate drops down to or below which parameter? P P P P P P P P P
a. 16 breaths/min
P P P
b. 14 breaths/min
P P P
c. 12 breaths/min
P P P
d. 10 breaths/min - ANSWER-C
P P P P
Which clinical manifestation should the nurse attribute to adverse effect
P P P P P P P P P
s of morphine sulfate administered via PCA?
P P P P P P P
a. Diarrhea
P P
b. Urinary incontinence
P P P
c. Nausea and vomiting
P P P P
d. Increased blood pressure - ANSWER-C
P P P P P
