A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?
Nalbuphine
Acetaminophen
Ondansetron
Insulin glargine
The Correct Answer is A
Nalbuphine is also an opioid like morphine. Opioids suppress the central respiratory centers leading to respiratory depression. Use of two opioids increases their levels in blood raising the risk of respiratory depression even higher which is fatal.
The other drugs do not have any significant interaction with morphine. C- An analgesic , C- Ondansetron- antiemetic, Insulin glargine- an form of insulin used in diabetes
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["325"]
Explanation
Dose= Weight in kg* dose per kg per day
Substitute values into the formula
143lb/2.2046 *5mcg per pay
The nurse will administer 325mcg per day
Correct Answer is A
Explanation
Epinephrine is administered as a priority in anaphylactic reaction to counter the mechanism of the reaction. Epinephrine helps to reverse the severe allergic response by constricting blood vessels, relaxing smooth muscles in the lungs to improve breathing, and reducing swelling and hives. It is typically administered intramuscularly (IM) into the thigh.
B-Replacing the infusion is important to maintain intravascular volume and blood pressure in the event of hypotension associated with the anaphylactic reaction but not a priority
C-Diphenhydramine helps in managing the cutaneous allergic manifestations but does not address the life-threatening effects
D-Elevation of the client’s feet and legs is not necessary
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