A client is requesting medicine for pain 30 minutes after receiving morphine sulfate 5 mg intravenously. Which intervention should the nurse implement next?

Ask the UAP to offer a backrub to the client.

Reassess the client and the level of pain.

Tell the client the medication needs more time to work.

Encourage the client to focus on taking deep breaths.

Answer and Explanation

The Correct Answer is B

A. Asking a UAP to offer a backrub is not appropriate if the pain assessment indicates that the current pain management strategy is insufficient. The nurse needs to reassess the pain to determine the effectiveness of the medication and whether additional interventions are needed.
B. Reassessing the client and the level of pain is essential to evaluate the effectiveness of the morphine sulfate administered and to guide further pain management decisions. This step is crucial for understanding the client's current pain status and determining the next steps in pain management.
C. Telling the client that the medication needs more time to work does not address the client's immediate concern or pain relief. Reassessing pain and potentially adjusting the treatment plan is more appropriate.
D. Encouraging deep breathing may help with pain management but does not address the need for further assessment of the pain level or potential adjustment in medication. Reassessing pain is the priority.

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Correct Answer is A

Explanation

A. Tennis shoes with velcro are recommended because they provide good support, traction, and stability, which are crucial for a client with residual weakness after a stroke. The velcro allows for easy adjustment and ensures the shoes are secure, reducing the risk of tripping or falling.
B. Rubber-soled slippers, while comfortable, may not offer the necessary support or secure fit needed for safe ambulation.
C. Slip-on rubber shower shoes are not suitable for ambulation outside of the shower area due to their lack of support and potential to slip off.
D. Leather-soled loafers can be slippery and do not provide the traction needed for safe walking, especially on smooth surfaces.

A. Morphine 2.0 mg IV every four hours for severe pain. B. Morphine 2 mg IV every 4 hr PRN for severe pain. C. IV MS 2 mg every 4 hr as needed for severe pain. D. IV MS 2.0 mg every 4 hours PRN for severe pain.

Correct Answer is B

Explanation

A. The use of "2.0 mg" is incorrect because trailing zeros can lead to dosage errors. The correct documentation should avoid trailing zeros to prevent misinterpretation.
B. "Morphine 2 mg IV every 4 hr PRN for severe pain" is the correct format. It uses the full name of the drug, avoids abbreviations that could be confused, and follows best practices for documenting as-needed (PRN) medications.
C. Using "MS" instead of "morphine" is not recommended because "MS" can be confused with magnesium sulfate or other medications. The full drug name should always be used.
D. Similar to option A, the use of "2.0 mg" includes a trailing zero, which should be avoided to reduce the risk of errors in medication administration.

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A client is requesting medicine for pain 30 minutes after receiving morphine sulfate 5 mg intravenously. Which intervention should the nurse implement next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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