{"id":2110,"date":"2024-01-17T18:39:00","date_gmt":"2024-01-17T18:39:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=2110"},"modified":"2026-03-20T13:51:11","modified_gmt":"2026-03-20T21:51:11","slug":"nclex-qotd-morphine-effectiveness","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-morphine-effectiveness","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: Morphine effectiveness"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-morphine-effectiveness\/#The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\" >The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-morphine-effectiveness\/#C_Ask_the_patient_to_rate_their_pain_on_a_scale_from_0_to_10\" >C. Ask the patient to rate their pain on a scale from 0 to 10<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-morphine-effectiveness\/#Major_Takeaway\" >Major Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-morphine-effectiveness\/#Incorrect_answer_explanations\" >Incorrect answer explanations<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-morphine-effectiveness\/#A_Obtain_a_set_of_vital_signs\" >A. Obtain a set of vital signs<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-morphine-effectiveness\/#B_Calculate_their_pain_using_the_Face_Legs_Activity_Cry_Consolability_FLACC_scale\" >B. Calculate their pain using the Face, Legs, Activity, Cry, Consolability (FLACC) scale<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-morphine-effectiveness\/#D_Score_the_patient_on_the_Clinical_Opiate_Withdrawal_Scale_COWS\" >D. Score the patient on the Clinical Opiate Withdrawal Scale (COWS)<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><em><strong>Today&#8217;s NCLEX-RN\u00ae question of the day focuses on a nurse who is caring for a hospitalized patient receiving morphine for post-chest tube insertion pain. With the initial pain level at 8\/10 and a 2 mg intravenous dose administered, which nursing intervention proves most effective in evaluating the morphine&#8217;s impact on pain relief? Can you figure it out?<\/strong><\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse is caring for an adult hospitalized patient receiving morphine for pain following chest tube insertion. An hour prior, the patient stated their pain was an 8\/10 on the pain scale, and received 2 mg of morphine intravenously. Which nursing intervention is&nbsp;<strong>most appropriate<\/strong>&nbsp;to evaluate the medication\u2019s effectiveness?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Obtain a set of vital signs<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Calculate their pain using the Face, Legs, Activity, Cry, Consolability (FLACC) scale&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Ask the patient to rate their pain on a scale from 0 to 10<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Score the patient on the Clinical Opiate Withdrawal Scale (COWS)<\/strong>Scroll down for the correct answer!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\"><\/span>The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"C_Ask_the_patient_to_rate_their_pain_on_a_scale_from_0_to_10\"><\/span>C. Ask the patient to rate their pain on a scale from 0 to 10<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>Prior to administration of the morphine, the patient rated their pain on the numeric pain scale (0 to 10). The most appropriate way to reevaluate their pain is to reassess pain using the same scale.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Major_Takeaway\"><\/span>Major Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Pain can be evaluated both objectively and subjectively. Certain pain scales utilize objective findings, such as The Face, Legs, Activity, Cry, Consolability (FLACC), while others ask the patient to rate their pain using subjective metrics like numbers or images. Since the nurse used the numeric pain scale to assess pain prior to administering the morphine, asking the patient to rate their pain on the numeric scale again will be the most reliable way of evaluating the effectiveness of the intervention. Vital signs are also valuable in providing objective data about pain and response to medication; however, must be correlated with other pain indicators. The FLACC scale is a measurement used to assess pain for pediatric patients between 2 months and 7 years of age or individuals that are unable to communicate their pain rather than adult patients who can communicate. The Clinical Opiate Withdrawal Scale (COWS) score is not used to assess pain, rather, it is used to assess withdrawal symptoms in patients with substance use disorder.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_answer_explanations\"><\/span>Incorrect answer explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"A_Obtain_a_set_of_vital_signs\"><\/span>A. Obtain a set of vital signs<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong>&nbsp;Vital signs can provide objective information about the pain. For example, when patients are in pain, their heart rate and blood pressure can be elevated. However, an isolated set of vital signs is not the most appropriate evaluation measure to determine whether the medication was effective.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"B_Calculate_their_pain_using_the_Face_Legs_Activity_Cry_Consolability_FLACC_scale\"><\/span>B. Calculate their pain using the Face, Legs, Activity, Cry, Consolability (FLACC) scale<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>The FLACC scale is an objective measurement used to assess pain for pediatric patients between 2 months and 7 years of age or individuals that are unable to communicate their pain. This scale is not the most appropriate way to evaluate pain for this adult patient who can verbalize their pain.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"D_Score_the_patient_on_the_Clinical_Opiate_Withdrawal_Scale_COWS\"><\/span>D. Score the patient on the Clinical Opiate Withdrawal Scale (COWS)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>The COWS score is not used to assess pain. Rather, it is used to assess withdrawal symptoms in patients with substance use disorder.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;________________________<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Want more NCLEX\u00ae-style practice questions? Try Osmosis by Elsevier today! Access your\u00a0<a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>\u00a0and find out why millions of current and future clinicians and caregivers love learning with us.<\/em><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/www.osmosis.org\/plans\/rn\"><img loading=\"lazy\" decoding=\"async\" width=\"904\" height=\"324\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_c86ccf.png\" alt=\"Learn and forgert less. Osmosis. 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Can you figure [&hellip;]<\/p>\n","protected":false},"author":279,"featured_media":2116,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[20,29,1367,32],"tags":[],"class_list":["post-2110","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-nursing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCLEX-RN\u00ae Question of the Day: Morphine effectiveness - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-morphine-effectiveness\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCLEX-RN\u00ae Question of the Day: Morphine effectiveness - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"Today&#8217;s NCLEX-RN\u00ae question of the day focuses on a nurse who is caring for a hospitalized patient receiving morphine for post-chest tube insertion pain. With the initial pain level at 8\/10 and a 2 mg intravenous dose administered, which nursing intervention proves most effective in evaluating the morphine&#8217;s impact on pain relief? 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