« previous next »

Author Question: The nurse cares for a terminally ill patient who has 20-second periods of apnea followed by periods ... (Read 63 times)

KWilfred

  • Hero Member
  • *****
  • Posts: 570
on: Jun 25, 2018
The nurse cares for a terminally ill patient who has 20-second periods of apnea followed by periods of deep and rapid breathing. Which action by the nurse would be most appropriate?
 
  a. Suction the patient.
  b. Administer oxygen via face mask.
  c. Place the patient in high Fowler's position.
  d. Document the respirations as Cheyne-Stokes.

Question 2

A patient with chronic pain who has been receiving morphine sulfate 20 mg IV over 24 hours is to be discharged home on oral sustained-release morphine (MS Contin), which will be administered twice a day.
 
  What dosage of MS Contin will be needed for each dose to obtain an equianalgesic dose for the patient? (Morphine sulfate 10 mg IV is equianalgesic to morphine sulfate 30 mg orally.)
  What will be an ideal response?


ririgirl15

  • Sr. Member
  • ****
  • Posts: 385
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: D
Cheyne-Stokes respirations are characterized by periods of apnea alternating with deep and rapid breaths. Cheyne-Stokes respirations are expected in the last days of life. There is also no need for supplemental oxygen by face mask or suctioning the patient. Raising the head of the bed slightly and/or turning the patient on the side may promote comfort. There is no need to place the patient in high Fowler's position.

Answer to Question 2

ANS:
MS Contin 30 mg/dose
Morphine sulfate 20 mg IV over 24 hours will be equianalgesic to MS Contin 60 mg in 24 hours. Since the total dose needs to be divided into two doses, each dose should be 30 mg.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

More than nineteen million Americans carry the factor V gene that causes blood clots, pulmonary embolism, and heart disease.

Did you know?

People often find it difficult to accept the idea that bacteria can be beneficial and improve health. Lactic acid bacteria are good, and when eaten, these bacteria improve health and increase longevity. These bacteria included in foods such as yogurt.

Did you know?

Human kidneys will clean about 1 million gallons of blood in an average lifetime.

Did you know?

Stevens-Johnson syndrome and Toxic Epidermal Necrolysis syndrome are life-threatening reactions that can result in death. Complications include permanent blindness, dry-eye syndrome, lung damage, photophobia, asthma, chronic obstructive pulmonary disease, permanent loss of nail beds, scarring of mucous membranes, arthritis, and chronic fatigue syndrome. Many patients' pores scar shut, causing them to retain heat.

Did you know?

The toxic levels for lithium carbonate are close to the therapeutic levels. Signs of toxicity include fine hand tremor, polyuria, mild thirst, nausea, general discomfort, diarrhea, vomiting, drowsiness, muscular weakness, lack of coordination, ataxia, giddiness, tinnitus, and blurred vision.

Percussion for Ascites: Shifting Dullness, Patient on Left Side Percussion for Ascites: Shifting Dullness, Patient on Left Side
Schematic of an automated external defibrillator (AED) attached to a patient. Schematic of an automated external defibrillator (AED) attached to a patient.
A computerized patient registration form used by offices with electronic health records. A computerized patient registration form used by offices with electronic health records.
Patient health history form. Patient health history form.
An open chamber MRI may be more comfortable for the patient, but images may not be as distinct. An open chamber MRI may be more comfortable for the patient, but images may not be as distinct.
Risk assessment codes for an HIV-infected patient. Risk assessment codes for an HIV-infected patient.
Video: The primary factors that affect circulation - MABP, CO and SVR

For a complete list of videos, visit our video library