Author Question: The nurse is caring for a child receiving intravenous (IV) morphine for severe postoperative pain. ... (Read 49 times)

vicotolentino · **on:** Jun 27, 2018

The nurse is caring for a child receiving intravenous (IV) morphine for severe postoperative pain. The nurse observes a slower respiratory rate, and the child cannot be aroused. The most appropriate management of this child is for the nurse to

a. Administer naloxone (Narcan).
b. Discontinue IV infusion.
c. Discontinue morphine until child is fully awake.
d. Stimulate child by calling name, shaking gently, and asking to breathe deeply.

Question 2

A child experiences frostbite of the fingers after prolonged exposure to the cold. Which intervention should the nurse implement first?

a. Rapid rewarming of the fingers by placing in warm water
b. Placing the hand in cool water
c. Slow rewarming by wrapping in warm cloth
d. Using an ice pack to keep cold until medical intervention is possible

cswans24 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Feedback
A The management of opioid-induced respiratory depression includes lowering the
rate of infusion and stimulating the child. If the respiratory rate is depressed and
the child cannot be aroused, then IV naloxone should be administered. The child
will be in pain because of the reversal of the morphine.
B The morphine should be discontinued, but naloxone is indicated if the child is
unresponsive.
C The morphine should be discontinued, but naloxone is indicated if the child is
unresponsive.
D The child is unresponsive. Naloxone is indicated.

Answer to Question 2

A
Feedback
A Rapid rewarming is accomplished by immersing the part in well-agitated water
at 37.8 C to 42.2 C (100 F to 108 F).
B The frostbitten area should be rewarmed as soon as possible to avoid further
tissue damage.
C Rapid rewarming results in less tissue necrosis than slow thawing.
D The frostbitten area should be rewarmed, as soon as possible, to avoid further
tissue damage.