What does the nurse anticipate about the medications ordered for ...

[Caiter2013]

What does the nurse anticipate about the medications ordered for a client with liver disease?
 
  1. They will be in lower doses than normal.
  2. They will be administered by the parenteral route.
  3. They will need to be divided evenly throughout the day.
  4. They will need to be given with an antacid.

Question 2

A client is admitted to the burn unit with 75 body surface area burns. Which orders would be appropriate for this client to control pain?
 
  1. Morphine 10 mg IV every 2 to 4 hours as needed for pain
  2. Morphine 10 mg IM every 2 to 4 hours as needed for pain
  3. Morphine 10 mg transdermal patch every 2 to 4 hours as needed for pain
  4. Morphine 10 mg sublingual every 2 to 4 hours as needed for pain
  5. Morphine 10 mg subcutaneous every 2 to 4 hours as need for pain

[deja]

Answer to Question 1

Correct Answer: 1
Rationale 1: Liver function is decreased in cirrhosis, leading to a reduction in drug metabolism. Drugs given at normal doses could lead to toxicity.
Rationale 2: Drugs can still be administered by the oral route; the parenteral route would be indicated if the drug is altered by gastric juices or needs to avoid the first pass effect.
Rationale 3: The doses do not need to be evenly divided throughout the day.
Rationale 4: The medications do not need to be given with antacids. Most medications should not be given with antacids, since this alters the pH, and could interfere with adequate absorption.
Global Rationale: Liver function is decreased in cirrhosis, leading to a reduction in drug metabolism. Drugs given at normal doses could lead to toxicity. Drugs can still be administered by the oral route; the parenteral route would be indicated if the drug is altered by gastric juices or needs to avoid the first pass effect. The doses do not need to be evenly divided throughout the day. The medications do not need to be given with antacids. Most medications should not be given with antacids, since this alters the pH, and could interfere with adequate absorption.

Answer to Question 2

Correct Answer: 1,4
Rationale 1: Pain medication given by the intravenous (IV) route will be rapidly and completely absorbed.
Rationale 2: The client has 75 surface area burns; there may not be an area available for intramuscular injections of morphine.
Rationale 3: The client has 75 surface area burns; there may not be an area available to place a transdermal patch.
Rationale 4: Sublingual morphine can be used as a rescue drug.
Rationale 5: The client has 75 surface area burns; there may not be an area available for subcutaneous injections.
Global Rationale: Pain medication given by the intravenous (IV) route or sublingually will be rapidly and completely absorbed. The client has 75 surface area burns; there may not be an area available for intramuscular, transdermal, or subcutaneous injections of morphine.

[Caiter2013]

TY

[deja]

You're welcome