Author Question: The postsurgical patient has an order for morphine 2 mg IV push every 2 hours and propoxyphene 100 ... (Read 70 times)

viki · **on:** Jul 23, 2018

The postsurgical patient has an order for morphine 2 mg IV push every 2 hours and propoxyphene 100 (Darvon 100) every 3 hours. He received the morphine 2 hours ago, and is complaining of pain again. What will the best plan of the nurse include?

1. Plan to administer the morphine again.
2. Plan to administer the propoxyphene 100 (Darvon 100).
3. Plan to have the patient do some distraction techniques.
4. Plan to assess the patient's level of pain.

Question 2

The patient has a patient-controlled analgesia (PCA) pump following surgery. The nurse keeps naloxone (Narcan) in the patient's room as per protocol. What does the nurse recognize as the rationale for this protocol?

1. Naloxone (Narcan) enhances the effect of the opioid in the patient-controlled analgesia (PCA) pump and increases analgesia.
2. Naloxone (Narcan) is the antidote if an anaphylactic reaction to the opioid in the patient-controlled analgesia (PCA) pump occurs.
3. Naloxone (Narcan) is available to treat any systemic side effects, like constipation, of the opioid in the patient-controlled analgesia (PCA) pump.
4. Naloxone (Narcan) will reverse the effects of the narcotic in the patient-controlled analgesia (PCA) pump if an overdose occurs.

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

Answer to Question 1

Correct Answer: 4
Rationale: The patient's level of pain should be assessed prior to the administration of any analgesic. The patient's level of pain should be assessed prior to administration of propoxyphene (Darvon) 100. The patient's level of pain should be assessed prior to administration of additional morphine. Distraction techniques are appropriate, but should not take the place of a pain assessment and administration of an analgesic.

Answer to Question 2

Correct Answer: 4
Rationale: Naloxone (Narcan) is an opioid antagonist, and will reverse the effects of the narcotic in the pump if an overdose occurs. Naloxone (Narcan) does not enhance the effects of opioids. Naloxone (Narcan) is not used to treat anaphylactic reactions. Naloxone (Narcan) is not used to treat opioid-related constipation.