A nurse is reviewing a medication prescription that reads, "Morphine 5 mg IV bolus for pain". Which of the following components should the nurse clarify with the provider?
Dose
Time
Medication
Route
The Correct Answer is B
A. The dose is specified in the prescription as 5mg.
B. The prescription does not specify how frequently or at what intervals the morphine should be administered.
C. The medication is clearly stated as morphine.
D. The route of administration is specified as intravenous.
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Related Questions
Correct Answer is B
Explanation
A. Enteral feeding, while important, can wait momentarily if the client's airway needs immediate attention.
B. Endotracheal suctioning is a priority if the client is having difficulty breathing or has excessive secretions in the airway.
C. Wound irrigation can be performed after ensuring the client's airway is clear and stable.
D. Urinary catheter care is important but can be prioritized after addressing acute respiratory needs.
Correct Answer is B
Explanation
A. Informing the provider that the PCA is not providing adequate pain relief is not accurate in this scenario because the client rates their pain as 2, indicating that they are experiencing minimal discomfort.
B. Asking the provider for a prescription to decrease the continuous rate is appropriate since the client has not needed to deliver any bolus doses for over 2 hours, suggesting that the current continuous rate may be higher than necessary for their pain level. Adjusting the PCA settings can help to prevent potential over-medication and side effects while maintaining adequate pain control.
C. Instructing the client to push the button more frequently is unnecessary as the client is already reporting low pain levels and has not expressed a need for additional medication.
D. Allowing the caregiver to push the PCA button when the client is resting is not recommended because PCA systems are designed for patient-controlled analgesia, ensuring that the patient manages their own pain without risking over-medication.
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