Author Question: What criteria should the nurse use to evaluate to determine if an infant's regurgitation, or ... (Read 159 times)

jasdeep_brar · **on:** Jul 23, 2018

What criteria should the nurse use to evaluate to determine if an infant's regurgitation, or spitting up, should be further investigated?

1. How often the baby spits up
2. How much the baby spits up at a time
3. If the baby is gaining weight adequately
4. The consistency of the regurgitated matter

Question 2

The health care provider is writing medication orders for a client recovering from spinal fusion surgery. When the client reports pain as a 9 on a scale from 0 to 10, which medications should the nurse consider providing to the client?

1. Oxymorphone (Opana)
2. Hydrocodone (Vicodin)
3. Oxycodone (OxyContin)
4. Morphine sulfate (morphine)
5. Hydromorphone hydrochloride (Dilaudid)

Eunice618 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Many babies spit up after every meal and some seem to spit up a great deal.
Rationale 2: How much the baby spits up at a time is not included in criteria to evaluate if the regurgitation should be further investigated.
Rationale 3: As long as the baby is gaining weight adequately, it is not abnormal for regurgitation or spitting up to occur.
Rationale 4: The consistency of the regurgitated material may be thin (just consumed) or curdled (has been partially digested) and either case is normal.

Answer to Question 2

Correct Answer: 1, 3, 4, 5

Rationale 1: Oxymorphone (Opana) is an opioid analgesic for severe pain. Because the client rated the pain as 9, which is severe, this medication is appropriate.

Rationale 2: Hydrocodone (Vicodin) is an opioid analgesic for moderate pain. Considering that the client rates pain as being severe, this medication would not sufficiently control the client's pain.

Rationale 3: Oxymorphone (Opana) is an opioid analgesic for severe pain. Because the client rated the pain as 9, which is severe, this medication is appropriate.

Rationale 4: Morphine sulfate (morphine) is an opioid analgesic for severe pain. Because the client rated the pain as 9, which is severe, this medication is appropriate.

Rationale 5: Hydromorphone hydrochloride (Dilaudid) is an opioid analgesic for severe pain. Because the client rated the pain as 9, which is severe, this medication is appropriate.