This topic contains a solution. Click here to go to the answer

Author Question: A patient with congestive heart failure and pulmonary edema is experiencing chest pain. The patient ... (Read 39 times)

drink

  • Hero Member
  • *****
  • Posts: 554
A patient with congestive heart failure and pulmonary edema is experiencing chest pain. The patient has an order for morphine sulfate IV 4 mg every 5 to 30 minutes PRN until chest pain is relieved.
 
  The last dose of 4 mg was 15 minutes prior, and the patient is complaining of chest pain and exhibiting increased work of breathing. The nurse notes a heart rate of 82 beats per minute, a respiratory rate of 18 breaths per minute, and a blood pressure of 135/88 mm Hg. What will the nurse do next?
  a. Administer morphine sulfate IV 4 mg over 1 to 5 minutes.
  b. Administer naloxone (Narcan) to reverse respiratory depression.
  c. Request an order for morphine sulfate IV 2 mg over 1 to 5 minutes.
  d. Hold the next dose and notify the provider of the patient's symptoms.

Question 2

A patient is brought to the emergency department after coming in contact with organophosphate insecticides while at work. The nurse will expect to administer which medication to reverse the toxic effects of this substance?
 
  a. Atropine sulfate
  b. Diazepam
  c. Epinephrine
  d. Flumazenil



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

itsakadoozi

  • Sr. Member
  • ****
  • Posts: 317
Answer to Question 1

ANS: A
Morphine acts to relieve pain, dilate venous vessels, and decrease the workload on the heart to treat acute cardiogenic pulmonary edema and can relieve the dyspnea caused by this condition. The nurse should administer 4 mg since the patient's pain has not abated. Respiratory depression would be characterized by a decreased respiratory rate.

Answer to Question 2

ANS: A
Atropine is used to counter the toxic effects of organophosphate insecticides. Diazepam is given for seizures and for acute alcohol withdrawal. Epinephrine is used for anaphylactic shock. Flumazenil is given as an antidote for benzodiazepine overdose.




drink

  • Member
  • Posts: 554
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)


Viet Thy

  • Member
  • Posts: 329
Reply 3 on: Yesterday
Excellent

 

Did you know?

Cancer has been around as long as humankind, but only in the second half of the twentieth century did the number of cancer cases explode.

Did you know?

Astigmatism is the most common vision problem. It may accompany nearsightedness or farsightedness. It is usually caused by an irregularly shaped cornea, but sometimes it is the result of an irregularly shaped lens. Either type can be corrected by eyeglasses, contact lenses, or refractive surgery.

Did you know?

According to the Migraine Research Foundation, migraines are the third most prevalent illness in the world. Women are most affected (18%), followed by children of both sexes (10%), and men (6%).

Did you know?

Once thought to have neurofibromatosis, Joseph Merrick (also known as "the elephant man") is now, in retrospect, thought by clinical experts to have had Proteus syndrome. This endocrine disease causes continued and abnormal growth of the bones, muscles, skin, and so on and can become completely debilitating with severe deformities occurring anywhere on the body.

Did you know?

Certain chemicals, after ingestion, can be converted by the body into cyanide. Most of these chemicals have been removed from the market, but some old nail polish remover, solvents, and plastics manufacturing solutions can contain these substances.

For a complete list of videos, visit our video library