The nurse is caring for a hospitalized client. Morphine has been prescribed by the physician to manage pain. The client has received morphine IV over the past 24 hours. The client has been experiencing nausea and vomiting
Which actions will best manage the client's concerns at this time?
A) The use of morphine should be suspended and another opioid analgesic employed.
B) The client will be unlikely to handle any opioid analgesic administration and another type of medication will need to be tried.
C) When morphine is not tolerated, Meperidine may be implemented without nausea and vomiting.
D) An anti-emetic can be used for a few days and gradually withdrawn.
D
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The nurse is assessing the client's respiratory pattern and notes periods of deep breathing alternating with periods of apnea. When documenting this assessment finding, which term is the most appropriate for the nurse to use?
1. Tachypnea. 2. Obstructive breathing. 3. Hypoventilation. 4. Cheyne-Stokes.
Which of these medications will be prescribed to relieve pain for the client who has osteoarthritis?
a. aspirin or NSAIDs c. narcotics b. steroids d. muscle relaxants
The nurse is planning care for an older client who reports interrupted sleep. Which assessment findings most concern the nurse? Select all that apply.
1. Frequent nighttime urination 2. History of kidney stones 3. Morning headaches 4. Early morning awakening 5. Feeling unable to empty bladder
The nurse caring for a client who has been NPO for 5 days and receiving only dextrose 5% in lactated Ringer's solution (4 liters daily) reviews the client's most recent arterial blood gas results and observes that the pH is now 7.28. What is the most likely explanation for this finding?
A. Acidosis in response to the presence of excessive ketoacids B. Acidosis in response to the presence of excessive lactic acid C. Alkalosis in response to the excessive loss of carbonic acid D. Alkalosis in response to the excessive loss of sulfuric acid