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
Summation of Heart Sounds, Normal S2
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