Patient Data

Which other medications would the nurse expect the surgeon to prescribe along with morphine? Select all that apply.

Propofol

Methadone

Docusate sodium

Ibuprofen

Naloxone

Senna

Answer and Explanation

Correct Answer : C,D,E,F

A. Propofol: Propofol is a powerful sedative used mainly for anesthesia or sedation during mechanical ventilation. It is not appropriate or expected for routine postoperative pain management with morphine on a surgical floor.

B. Methadone: Methadone is another opioid used for chronic pain management or opioid dependency, not typically prescribed alongside morphine for acute postoperative pain because combining opioids increases the risk of respiratory depression.

C. Docusate sodium: Docusate sodium is a stool softener often prescribed with opioids like morphine to prevent constipation, a common opioid side effect. Promoting bowel movements is an important preventative measure in postoperative patients.

D. Ibuprofen: Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), may be prescribed to provide additional pain relief through a different mechanism and reduce inflammation. This combination allows lower opioid doses, improving pain management while minimizing opioid side effects.

E. Naloxone: Naloxone is an opioid antagonist kept available as a safety measure in case of opioid-induced respiratory depression. Having naloxone ordered and readily accessible is a critical precaution during opioid therapy.

F. Senna: Senna is a stimulant laxative that can be prescribed along with docusate to prevent or treat opioid-induced constipation by actively stimulating bowel movements, making it a commonly expected medication alongside opioids.

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Correct Answer is ["A","C","F"]

Explanation

A. Have a manual resuscitation bag at the bedside: Because morphine can cause respiratory depression, it is critical to have emergency resuscitation equipment readily available in case the client requires assisted ventilation during an adverse reaction.

B. Suction the client to clear the airway: Routine suctioning is not necessary unless the client has secretions impairing airway patency. It is not a standard precaution for clients receiving IV morphine without signs of airway obstruction.

C. Ask the client about other medications she takes: Morphine can interact dangerously with other medications, particularly sedatives, benzodiazepines, and other central nervous system depressants. Knowing the client’s full medication list helps prevent additive respiratory depression.

D. Perform a 12-lead electrocardiogram: A 12-lead ECG is not a standard requirement when starting morphine therapy unless there are cardiac symptoms. Continuous cardiorespiratory monitoring is already ordered, and that level of cardiac surveillance is sufficient unless new cardiac concerns arise.

E. Restrain the client with soft restraints: Restraints are not appropriate unless the client becomes a danger to herself or others. Administering morphine does not justify the prophylactic use of restraints and would violate ethical care standards.

F. Take an initial respiratory rate: An initial baseline respiratory rate is critical before starting or continuing morphine, as the drug’s main risk is respiratory depression. Ongoing respiratory assessments will be essential during PCA therapy.

A. Assess for secondary Candida infection. B. Monitor for electrolyte imbalance. C. Administer sucralfate once a day, preferably at bedtime. D. Give sucralfate on an empty stomach.

Correct Answer is D

Explanation

A. Assess for secondary Candida infection: Sucralfate acts locally in the stomach to form a protective barrier over ulcers; it does not suppress the immune system or significantly alter the microbial flora. Therefore, it does not increase the risk of Candida infections, making this assessment unnecessary specifically for sucralfate therapy.

B. Monitor for electrolyte imbalance: Sucralfate does not typically cause major electrolyte disturbances. Unlike antacids, which may alter serum electrolytes, sucralfate's mechanism is physical coating of the gastric mucosa rather than altering gastric pH significantly or causing systemic absorption issues.

C. Administer sucralfate once a day, preferably at bedtime: Sucralfate is usually prescribed multiple times a day, typically four times daily, before meals and at bedtime. Administering it only once daily would not provide adequate mucosal protection necessary for ulcer healing.

D. Give sucralfate on an empty stomach: Sucralfate must be given on an empty stomach for optimal binding to the ulcer site. Food can interfere with its ability to adhere properly to the mucosal lining, reducing its effectiveness in promoting ulcer healing.

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Patient Data Which other medications would the nurse expect the surgeon to prescribe along with morphine? Select all that apply.

Nursing Test Bank

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Correct Answer is ["A","C","F"]

Explanation

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Correct Answer is D

Explanation

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Patient Data

Which other medications would the nurse expect the surgeon to prescribe along with morphine? Select all that apply.