Which assessment is of highest priority for the nurse to complete before administration of morphine? Question 76 options: Pain rating Blood pressure Respiratory rate Level of consciousness
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Question 76
Which assessment is of highest priority for the nurse to complete before administration of morphine?
Question 76 options:
Pain rating
Blood pressure
Respiratory rate
Level of consciousness
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- Ms. Hall has an order for hydromorphone (Dilaudid), 2 mg,intravenously, q 4 hours PRN pain. The nurse notes thataccording to Ms. Hall’s chart, she is allergic to Dilaudid. Theorder for medication was signed by Dr. Long. What would bethe correct procedure for the nurse to follow in this situation?a. Administer the medication; the doctor is responsible formedication administration.b. Call Dr. Long and ask that she change the medication.c. Ask the supervisor to administer the medication.d. Ask the pharmacist to provide a medication to take theplace of Dilaudid.The nurse is administering an intra-enous dose of morphine sulfate to a 48-year-old postoperative patient. The dose ordered is 3 mg e-ery 3 hours as needed for pain. The medication is supplied in -ials of 4 mg/mL. How much will be drawn into the syringe for this dose?A medication order reads: “Hydromorphone, 2 mg IV every 3to 4 hours PRN pain.” The prefilled cartridge is available witha label reading “Hydromorphone 2 mg/1 mL.” The cartridgecontains 1.2 mL of hydromorphone. Which nursing action iscorrect?a. Give all the medication in the cartridge because itexpanded when it was mixed.b. Call the pharmacy and request the proper dose.c. Refuse to give the medication.d. Dispose of 0.2 mL correctly before administering the drug.
- A dose of an opioid medication (45mg) and an anticholinergic medication (0.3mg) has been ordered for preoperative sedation. The opioid medication is provided in a prefilled syringe containing 50 mg/ml and the anticholenergic medication is provided in a vial containing 400 mcg/ml. What is the total volume that the nurse will inject?Question 8 Which response demonstrates that the nurse is taking a client's statement about suicide seriously? Question 8 options: "Many people find ways to overcome these feelings." "I’m concerned, do you have a plan to take your own life?” "I think you will feel better after you have had a chance to rest.” "It sounds liked you have some concerns, tell me more."The surgeon has prescribed 5/150 mg hydrocodone bitartrate and acetaminophen PO Q6H prn pain. The nurse is reviewing the drug label and preparing to administer the opioid to the client who is complaining of 8 out of 10 RUQ pain. What pain scale was used to assess this client? How many tablet(s) will the nurse administer per dose? (Be sure to include units.) What is meant by 300 mg on the drug label below? If the nurse administers the first dose at 1730 to the client, when can the client have the next dose? What type of order is prn?
- A relative standing in the waiting room suddenly falls on the floor. List the order for the actions that the duty nurse must perform. 1. Call for help and activate the code team. 2. Start compressions 3. Give breaths 4. Establish unresponsiveness.The nurse realizes that the physician’s verbal orders was missing information and requests the missing order information. Before administering the medication, the nurse will review the medication rights to ensure that the medication is correctly given. When thinking of the 10 medication rights, what medication right has missing information from the physician’s order of: Give Sally Smith 5 mg morphine sulfate q6h PRN for pain? Fill in the blank with a one-word answer (your answer must be one word or it will be marked wrong)The preoperative order for an adult patient reads: “Give scopolamine, 0.7 mg IM on call for surgery.” The medication is available in vials of 0.4 mg/mL. How many milliliters will the nurse administer for this dose? (Round to tenths.)
- 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…Question 62 The nurse is caring for an adult client who is receiving morphine intravenously. Which client assessment data demonstrates the most therapeutic effect of this medication? Question 62 options: Pain rating 3/10, awake and alert, respirations 24 Pain rating 2/10, awake and alert, respirations 18 Pain rating 2/10, drowsy but easily roused, respirations 18 Pain rating 1/10, drowsy but easily roused, respirations 16Susan has come to the ER with an acute anxiety attack. The doctor ordered: Ativan (lorazepam) 2mg IV q4h prn. Refer to the label below. Calculate the correct volume to administer. 2 mL LORAZEPAM Lot: XXX Exp: xxx Injection USP 4 mg /2 mL I.M., I.V.