The nurse is providing discharge instructions for a client with metastatic cancer who is proscribed morphine for bone pain. Which information from the client indicates to the nurse an understanding of the medication?
Take the benzodiazepine at the same time of taking the morphine.
Do not drink grapefruit juice after taking morphine.
Watch for signs of agitation and record any insomnia.
Observe bowel movement pattern and take a stool softener.
The Correct Answer is D
A) Take the benzodiazepine at the same time of taking the morphine: This statement is incorrect. Benzodiazepines and morphine are both central nervous system depressants and can potentiate each other’s effects, leading to increased sedation and respiratory depression. Taking them together without proper supervision or dosage adjustment can be dangerous. Therefore, this statement indicates a misunderstanding of the medication regimen.
B) Do not drink grapefruit juice after taking morphine: While grapefruit juice can interact with certain medications by affecting their metabolism, there is no specific interaction between grapefruit juice and morphine that requires avoidance. Therefore, this statement is not directly related to the use of morphine for bone pain.
C) Watch for signs of agitation and record any insomnia: While it is important to monitor for side effects of morphine, such as agitation and insomnia, this statement does not directly relate to the management of constipation, which is a common side effect of opioid analgesics like morphine.
D) Observe bowel movement pattern and take a stool softener: This is the correct answer. Morphine is known to cause constipation as a side effect due to its action on opioid receptors in the gastrointestinal tract. Therefore, monitoring bowel movements and taking a stool softener can help prevent or alleviate constipation associated with morphine use. This statement indicates an understanding of the potential side effects of the medication and the importance of managing them appropriately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Holding the dose of IV pantoprazole until the client has finished eating breakfast may delay the onset of action of the medication, as pantoprazole is typically administered before meals to maximize its effectiveness in reducing gastric acid secretion. Additionally, delaying the dose may not provide immediate relief for the client's he’rtburn symptoms.
B) Providing a PRN dose of antacid along with the scheduled medications may temporarily relieve the client's he’rtburn symptoms, but it does not address the underlying cause of peptic ulcer disease or prevent further gastric acid secretion, which is the primary goal of pantoprazole and sucralfate administration.
C) Instructing the client to take the dose of sucralfate PO while eating breakfast may interfere with the optimal absorption of the medication. Sucralfate forms a protective barrier over ulcers in the stomach and should be administered on an empty stomach to allow it to adhere to the gastric mucosa effectively.
D) Administering both of the medications before breakfast as scheduled is the most appropriate action. Pantoprazole is a proton pump inhibitor that reduces gastric acid production, and sucralfate forms a protective barrier over ulcers in the stomach. Administering these medications before breakfast allows them to work synergistically to reduce gastric acid secretion and protect the gastric mucosa, helping to alleviate the client's he’rtburn symptoms and promote ulcer healing.
Correct Answer is ["0.8"]
Explanation
The nurse should administer 0.8 mL of the enoxaparin sodium injection.
Here's th’ breakdown of the calculation:
Prescribed dose: 80 mg
Available medication: 60 mg/0.6 mL
The nurse needs to determine the volume of the available medication that delivers the prescribed dose of 80 mg. We can set up a proportion to find the desired volume (x):
Prescribed dose (mg) : Desired volume (mL) = Concentration (mg/mL) : Available volume (mL)
Plugging in the values:
80 mg : x mL = 60 mg/0.6 mL : 0.6 mL
To isolate x (desired volume), we can cross-multiply:
x mL x (60 mg/0.6 mL) = 80 mg x 0.6 mL
Simplifying the equation
0.6x mL = 48 mg
To find x (desired volume), we can divide both sides by 0.6 mL:
x mL = (48 mg) / (0.6 mL/mL) // Cancel out units (mg/mL)
x = 80 mL
However, the answer needs to be rounded to the nearest tenth since medication dosages are measured precisely.
Therefore, the nurse should administer 0.8 mL of the enoxaparin sodium injection.
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