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
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Related Questions
Correct Answer is A
Explanation
A-Injection of air ensures that the accurate dose is withdrawn into the syringe
B-It is not necessary to administer within 20 min, it should, however, be administered within 24 hours.
C-Short-acting insulin should be drawn first to ensure that the short-acting insulin is not contaminated with the long-acting or intermediate one.
D- Insulin types can be mixed in the same syringe, provided the short-acting insulin is drawn up first.
Correct Answer is C
Explanation
This indicates a reduction in the abdominal swelling caused by fluid accumulation, which is a common complication of cirrhosis. Spironolactone is a diuretic that helps remove excess fluid from the body. Spironolactone in liver cirrhosis is used to reduce fluid retention and hence decrease ascites
The other effects are not directly related to spironolactone use
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