Which action will the nurse take when a patient receiving ...

[darbym82]

Which action will the nurse take when a patient receiving morphine sulfate via percutaneous coronary angioplasty (PCA) has a shallow, irregular respiratory rate of 6 breaths/min?
 
  a. Elevate the patient's head of bed to facilitate lung expansion.
  b. Increase the patient's primary intravenous (IV) flow rate.
  c. Complete the FLACC scale.
  d. Notify the health care provider and prepare to administer naloxone (Narcan).

Question 2

What is the advantage of taking a nonsteroidal anti-inflammatory drug (NSAID) that is a COX 2 inhibitor?
 
  a. The medication is cheaper than aspirin.
  b. There are fewer GI adverse effects.
  c. They are more effective than COX 1 inhibitors.
  d. They have no known adverse effects.

[josephsuarez]

Answer to Question 1

ANS: D
The patient is exhibiting signs of respiratory depression. Administration of the antidote naloxone would be the most appropriate nursing intervention. Lung expansion or increasing the primary IV infusion rate would not relieve respiratory depression. Assessing the patient's pain at this point is a lesser priority than treating the respiratory depression.

Answer to Question 2

ANS: B
COX 2 inhibitor NSAIDs have fewer GI adverse effects than salicylates or COX 1 inhibitors. Aspirin is one of the least expensive analgesics available. The anti-inflammatory actions of NSAIDs are caused by COX 2 inhibition; the unwanted adverse effects are caused by inhibition of COX 1. All these medications have adverse effects.

[darbym82]

Excellent

[Alyson.hiatt@yahoo.com]

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