Author Question: The nurse receives an order for morphine sulfate 8 mg IV every 1 hour as needed for pain. For which ... (Read 117 times)

Marty · **on:** Jul 23, 2018

The nurse receives an order for morphine sulfate 8 mg IV every 1 hour as needed for pain. For which patient would the nurse need to question this order?

A) A 78-year-old with osteoarthritis
B) A 45-year-old, 1-day postoperative mastectomy
C) A 28-year-old with a fractured tibia
D) A 17-year-old, 1-day postoperative appendectomy

Question 2

The nursing instructor is talking to a group of nursing students about the treatment regimen for children with asthma.

The students indicate they understand the information when they identify which class of drugs that comprise this regimen? (Select all that apply.) A) Long-acting inhaled steroids
B) Xanthines
C) Leukotriene-receptor antagonists
D) Topical steroid nasal decongestants
E) Beta-agonists

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

Answer to Question 1

A
Feedback:
Older patients are more likely to experience the adverse effects associated with narcotics, including central nervous system, gastrointestinal, and cardiovascular effects. Furthermore, a strong narcotic analgesic would not be indicated for chronic osteoarthritis pain. For both of these reasons, the nurse would question the large dosage of a narcotic. The other patients could appropriately receive morphine 8 mg unless they were smaller than average adults.

Answer to Question 2

A, C, E
Feedback:
Antiasthmatics are frequently used in children. The leukotriene-receptor antagonists have been found to be especially effective for long-term prophylaxis in children. Acute episodes are best treated with a beta-agonist and then a long-acting inhaled steroid or a mast cell stabilizer. Xanthines (e.g., theophylline) have been used in children, but because of their many adverse effects and the better control afforded by newer agents, its use is reserved for patients who do not respond to other therapies. Topical steroid nasal decongestants may be used for symptom relief for nasal congestion but are not a regular part of asthma therapy in children.