The patient is complaining of severe leg pain. No pain medication is ordered, so the nurse calls the health care provider. An order for Tylenol with Codeine prn is given, in addition to a one-time order for morphine sulfate to be given stat
Which action by the nurse is most appropriate?
a. Give the morphine sulfate and Tylenol with Codeine immediately.
b. Give the Tylenol with Codeine now.
c. Give the morphine sulfate immediately.
d. Ask the patient which medication he would like first.
C
Types of orders based on frequency and/or urgency of medication administration include prn orders (given only when a patient requires it) and stat orders (given immediately and only once).
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Upon assessment, the nurse finds the lower left leg to be cold to touch, pedal and posterior tibial pulses nonpalpable, and a sharp line of paralysis/paresthesia. The nurse's next action is based on the fact that A) acute arterial occlusion is a medical emergency requiring immediate intervention to restore blood flow. B) submersion in a whirlpool with warm water will improve the venous blood flow and restore pulses. C) the immediate infusion of tissue plasminogen activator (tPA) will not correct the problem and should only be used for CVAs. D) administration of an aspirin and sublingual nitroglycerin will vasodilate the artery to restore perfusion.
Upon review of the history a patient ordered to receive vasopressin for bleeding esophageal varices, the nurse calls the physician to question the use of this medication when she reads that the patient has a history of:
A) Diabetes mellitus B) Chronic kidney disease C) Arthritis D) Coronary artery disease
The nurse is caring for a client who receives H2-receptor antagonists for the treatment of peptic ulcer disease. Based on the nursing diagnosis Risk for Bleeding, which assessment finding should the nurse report immediately to the healthcare provider?
A) The client who reports pain after 24 hours of treatment B) The client who reports episodes of melena C) The client who reports he is constipated D) The client who reports he took TUMS ® antacids with his H2-receptor antagonist
It is necessary to hold the thermometer in place when taking an axillary temperature
Indicate whether the statement is true or false