Account Dashboard Courses ... 000 Calendar 凸 Inbox History Tutoring Bookstore (?) Help 8 Student Quizzes 2 CLIENT HISTORY G h ★ Course Hero MEDICATION ADMINISTRATION RECORD (MAR) Use the following case study to answer all of the questions in this quiz Name: Sally Smith DOB: 4/3/1999 5 mg morphine sulfate IM once STAT online.macomb.edu Week 8 Discussion.docx - Microsoft Word Online 28:18 Time Remaining Sally Smith was admitted to the hospital at 0900 with kidney stones. At admission, she rated her pain as a 7 out of 10 on a pain scale where O is no pain and 10 is the worst pain ever. A one-time order was given for a total of 10 mg of morphine sulfate to be given stat with 5 mg to be given IM and 5 mg to be given IV so that her pain was covered with an immediate fast acting IV dose and a longer acting IM dose. A CT scan was performed to evaluate the kidney stones, and a urology consult was done. Urology recommended ureteral stents be placed surgically today and her surgery was scheduled for 1630. There is an order for her to be NPO prior to her surgery. Her urine is being strained for collection of kidney stones. There is an order to hold all narcotic pain medications (morphine sulfate & hydrocodone-acetaminophen) for respiratory rate less than 12. 5 mg morphine sulfate IV once STAT 150 cc per hour 0.9 normal saline continuous IV infusion 5 mg - 325 mg hydrocodone-acetaminophen PO q6h PRN for pain 600 mg ibuprofen PO q6h PRN for pain Allergies: Sulfa Antibiotics Given at 0922 Given at 0922 Home | Microsoft 365 Started at 0910 None given None given Return + Next Account Dashboard Courses ... 000 Calendar 凸 Inbox History Tutoring Bookstore (?) Help 8 Student Quizzes 2 VITAL SIGNS Temperature NURSE'S NOTES 0905: Patient admitted to care with flank pain 7/10 and vital signs taken. 0910: IV started with 0.9% normal saline in her left forearm. Heart Rate Respiratory Rate 0922: Patient given 5 mg morphine sulfate IM and 5 mg morphine sulfate IV. 1000: Patient rates pain 2/10 and states she is "comfortable without anything more for pain." 1415: Patient reports pain 6/10 and requesting pain medication. Blood Pressure G h Oxygenation Pain ★ Course Hero Normal Range 97.8°F -99.1°F (36.5°C - 37.3°C) 60-100 beats per minute 12 to 20 breaths per minute 90/60 mmHg to 120/80 mmHg 95%-100% online.macomb.edu 0/10 28:13 Time Remaining 0905 37°C (98.6°F) 96 beats per minute Week 8 Discussion.docx - Microsoft Word Online 16 breaths per minute 120/72 mmHg 98% on room air 7/10 (High) Home | Microsoft 365 Return + Next Use the following case study to answer all of the questions in this qui

Principles Of Pharmacology Med Assist
6th Edition
ISBN:9781337512442
Author:RICE
Publisher:RICE
Chapter7: Drug Sources, Schedules, And Dosages
Section: Chapter Questions
Problem 22RQ
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Sally asks the nurse if she can have her next dosage of pain medication.  The best next action by the nurse is to:

Sally Smith has her surgery to place stents without complications and returns to her room after a brief observation in the post-anesthesia care unit and continues to receive morphine 5 mg q6h for pain.  Her last dose was at 2200.  At 0400, the nurse takes the following vital signs and documents them in the electronic medical record (EMR):

 

VITAL SIGNS

 

 

Normal Range

0905

 0400

Temperature

97.8°F  - 99.1°F (36.5°C - 37.3°C)

37°C  (98.6°F)

37°C  (98.6°F)

Heart Rate

 60-100 beats per minute

96 beats per minute

92 beats per minute

Respiratory Rate

12 to 20 breaths per minute

16 breaths per minute

 11 breaths per minute (Low)

Blood Pressure

90/60 mm Hg to 120/80 mm Hg

 120/72 mmHg

108/62 mmHg

Oxygenation

 95%-100 %

 98% on room air

98% on room air

Pain

0/10

7/10 (High)

6/10 (High)

 

Sally asks the nurse if she can have her next dosage of pain medication.  The best next action by the nurse is to:

Give morphine sulfate IV

Give morphine sulfate IM

Give hydrocodone-acetaminophen

Call the physican

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CLIENT HISTORY
G h
★ Course Hero
MEDICATION ADMINISTRATION RECORD (MAR)
Use the following case study to answer all of the questions in this quiz
Name: Sally Smith DOB: 4/3/1999
5 mg morphine sulfate IM once STAT
online.macomb.edu
Week 8 Discussion.docx - Microsoft Word Online
28:18
Time Remaining
Sally Smith was admitted to the hospital at 0900 with kidney stones. At admission, she rated her pain as a 7 out of 10 on a pain scale where O is no pain
and 10 is the worst pain ever. A one-time order was given for a total of 10 mg of morphine sulfate to be given stat with 5 mg to be given IM and 5 mg to
be given IV so that her pain was covered with an immediate fast acting IV dose and a longer acting IM dose. A CT scan was performed to evaluate the
kidney stones, and a urology consult was done. Urology recommended ureteral stents be placed surgically today and her surgery was scheduled for
1630. There is an order for her to be NPO prior to her surgery. Her urine is being strained for collection of kidney stones. There is an order to hold all
narcotic pain medications (morphine sulfate & hydrocodone-acetaminophen) for respiratory rate less than 12.
5 mg morphine sulfate IV once STAT
150 cc per hour 0.9 normal saline continuous IV infusion
5 mg - 325 mg hydrocodone-acetaminophen PO q6h PRN for pain
600 mg ibuprofen PO q6h PRN for pain
Allergies: Sulfa Antibiotics
Given at 0922
Given at 0922
Home | Microsoft 365
Started at 0910
None given
None given
Return
+
Next
Transcribed Image Text:Account Dashboard Courses ... 000 Calendar 凸 Inbox History Tutoring Bookstore (?) Help 8 Student Quizzes 2 CLIENT HISTORY G h ★ Course Hero MEDICATION ADMINISTRATION RECORD (MAR) Use the following case study to answer all of the questions in this quiz Name: Sally Smith DOB: 4/3/1999 5 mg morphine sulfate IM once STAT online.macomb.edu Week 8 Discussion.docx - Microsoft Word Online 28:18 Time Remaining Sally Smith was admitted to the hospital at 0900 with kidney stones. At admission, she rated her pain as a 7 out of 10 on a pain scale where O is no pain and 10 is the worst pain ever. A one-time order was given for a total of 10 mg of morphine sulfate to be given stat with 5 mg to be given IM and 5 mg to be given IV so that her pain was covered with an immediate fast acting IV dose and a longer acting IM dose. A CT scan was performed to evaluate the kidney stones, and a urology consult was done. Urology recommended ureteral stents be placed surgically today and her surgery was scheduled for 1630. There is an order for her to be NPO prior to her surgery. Her urine is being strained for collection of kidney stones. There is an order to hold all narcotic pain medications (morphine sulfate & hydrocodone-acetaminophen) for respiratory rate less than 12. 5 mg morphine sulfate IV once STAT 150 cc per hour 0.9 normal saline continuous IV infusion 5 mg - 325 mg hydrocodone-acetaminophen PO q6h PRN for pain 600 mg ibuprofen PO q6h PRN for pain Allergies: Sulfa Antibiotics Given at 0922 Given at 0922 Home | Microsoft 365 Started at 0910 None given None given Return + Next
Account
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8
Student
Quizzes 2
VITAL SIGNS
Temperature
NURSE'S NOTES
0905: Patient admitted to care with flank pain 7/10 and vital signs taken.
0910: IV started with 0.9% normal saline in her left forearm.
Heart Rate
Respiratory Rate
0922: Patient given 5 mg morphine sulfate IM and 5 mg morphine sulfate IV.
1000: Patient rates pain 2/10 and states she is "comfortable without anything more for pain."
1415: Patient reports pain 6/10 and requesting pain medication.
Blood Pressure
G h
Oxygenation
Pain
★ Course Hero
Normal Range
97.8°F -99.1°F (36.5°C - 37.3°C)
60-100 beats per minute
12 to 20 breaths per minute
90/60 mmHg to 120/80 mmHg
95%-100%
online.macomb.edu
0/10
28:13
Time Remaining
0905
37°C (98.6°F)
96 beats per minute
Week 8 Discussion.docx - Microsoft Word Online
16 breaths per minute
120/72 mmHg
98% on room air
7/10 (High)
Home | Microsoft 365
Return
+
Next
Use the following case study to answer all of the questions in this qui
Transcribed Image Text:Account Dashboard Courses ... 000 Calendar 凸 Inbox History Tutoring Bookstore (?) Help 8 Student Quizzes 2 VITAL SIGNS Temperature NURSE'S NOTES 0905: Patient admitted to care with flank pain 7/10 and vital signs taken. 0910: IV started with 0.9% normal saline in her left forearm. Heart Rate Respiratory Rate 0922: Patient given 5 mg morphine sulfate IM and 5 mg morphine sulfate IV. 1000: Patient rates pain 2/10 and states she is "comfortable without anything more for pain." 1415: Patient reports pain 6/10 and requesting pain medication. Blood Pressure G h Oxygenation Pain ★ Course Hero Normal Range 97.8°F -99.1°F (36.5°C - 37.3°C) 60-100 beats per minute 12 to 20 breaths per minute 90/60 mmHg to 120/80 mmHg 95%-100% online.macomb.edu 0/10 28:13 Time Remaining 0905 37°C (98.6°F) 96 beats per minute Week 8 Discussion.docx - Microsoft Word Online 16 breaths per minute 120/72 mmHg 98% on room air 7/10 (High) Home | Microsoft 365 Return + Next Use the following case study to answer all of the questions in this qui
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