Author Question: During a health history, the nurse asks a male patient about alcohol use. The patient tells the ... (Read 74 times)

asan beg · **on:** Jul 23, 2018

During a health history, the nurse asks a male patient about alcohol use. The patient tells the nurse that he and his wife are trying to conceive a pregnancy and he is using alcohol to lower his inhibitions.

What will the nurse counsel this patient? a. Alcohol causes increased masculiniza-tion.
b. Alcohol may cause testicular atrophy and sterility.
c. Alcohol will improve your chances of conceiving.
d. Alcohol will also help you to ejaculate.

Question 2

A young adult postoperative patient is receiving morphine 2 to 4 mg IV every 2 hours PRN pain. The last dose was 3 mg given 2 hours ago.

The patient is asleep, and the nurse notes a heart rate of 86 beats per minute and a respiratory rate of 8 breaths per minute. Which PRN medication will the nurse give this patient? a. Diphenhydramine Benadryl to counter morphine side effects
b. Morphine 4 mg for increased pain, as in-dicated by tachycardia
c. Naloxone Narcan to block the effects of the morphine
d. Nothing at this time, because the patient is resting comfortably

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

Answer to Question 1

B
Alcohol may induce feminization and cause testicular atrophy, impotence, sterility, and breast enlargement. Alcohol significantly decreases the ability to ejaculate in spite of lowering inhibi-tions.

Answer to Question 2

C
A respiratory rate of 8 breaths per minute indicates respiratory depression, which is a significant adverse effect indicating morphine toxicity. Naloxone blocks the actions of morphine at cell re-ceptor sites and is given to quickly reverse the effects. This patient does not have signs of an al-lergic response, which would include shortness of breath, a rapid respiratory rate, and wheezing. The tachycardia might be a sign of worsening pain, but the toxic effects must be treated first. Pa-tients who are sleeping are not always pain free.