A nurse is caring for a client who is receiving morphine via a patient controlled analgesia (PCA) pump. When assessing the client, she notes that his respiratory rate is 4. What should the nurse do first?
A) Notify the physician.
B) Stop the PCA pump.
C) Administer naloxone.
D) Increase the primary IV rate.
Ans: B
Feedback:
A side effect of morphine is respiratory depression. In this situation, the nurse should first stop the PCA pump and then notify the physician. Naloxone is used to reverse the sedative effects of opioids, but this is not the first step.
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