A nurse is preparing to administer morphine IV to a client. Which of the following medications should the nurse plan to have available?
Neostigmine
Protamine
Naloxone
Flumazenil
The Correct Answer is C
Rationale- When administering morphine intravenously, it is essential to have an opioid antagonist available to reverse the effects of opioids in case of an overdose or adverse reaction. Naloxone is the medication typically used for this purpose. It can quickly reverse the effects of morphine, making it an essential safety measure during opioid administration.
A Neostigmine is used to reverse the effects of certain muscle relaxants,
B Protamine is used to reverse the effects of heparin, and
D Flumazenil is used to reverse the effects of benzodiazepines, none of which are relevant in the context of morphine administration.
D-Flumazenil is an antidote for benzodiazepine
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Related Questions
Correct Answer is D
Explanation
Rationale- morphine is an opioid that is commonly used as an analgesics to manage post-operative pain. Morphine has a potential for resulting in respiratory distress . The nurse should do frequent monitoring of the respiratory rate.
A, B,C- They are important assessments but not directly related to morphine use
Correct Answer is C
Explanation
C-Dextrose 5% in 0.9% sodium chloride is the most appropriate fluid for the client as it supplies both caloric, fluid and electrolytes at the same time. This ensures that the client does not go into hypoglycemia and the sodium is lowered
A- Lactated Ringer's and Dextrose 5% in 0.9% sodium chloride are isotonic and hypertonic solutions, respectively, and would not be appropriate choices for treating hypernatremia due to their higher sodium content.
B- The goal is to lower the serum sodium concentration carefully by providing a hypotonic solution. In this case, 0.45% sodium chloride is often recommended as it is a hypotonic fluid and can help to correct the sodium imbalance without overloading the client with sodium. the client requires a fluid with dextrose due to the NPO status and low sodium concentration
D- Dextrose in water (option D) is also hypotonic once the dextrose is metabolized, but it may not be as effective in this scenario as it does not contain electrolytes. The water can tip the client to hyponatremia
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