A nurse is caring for a client who has a prescription for morphine 1 to 2 mg subcut every 4 hr PRN for pain. Which of the following actions should the nurse take?
Clarify the dosage of the morphine.
Administer up to 2 mg of morphine in 4 hr.
Clarify the route of the morphine.
Administer 2 mg of morphine every 2 hr.
The Correct Answer is A
he correct answer is:
A. Clarify the dosage of the morphine.
Explanation:
The prescription indicates that the client should receive 1 to 2 mg of morphine subcutaneously every 4 hours as needed for pain. This means that the nurse can administer 1 mg or 2 mg of morphine, but the exact dose should be determined based on the client's pain level and response to the medication. The nurse should clarify with the prescriber to determine the specific dosage range that is appropriate for the client.
The other options are incorrect:
- B. Administer up to 2 mg of morphine in 4 hr: The prescription states that the client can receive up to 2 mg in 4 hours, but the nurse should not administer the maximum dose without first assessing the client's pain level and determining the appropriate dose based on their individual needs.
- C. Clarify the route of the morphine: The prescription clearly states that the morphine should be administered subcutaneously, so there is no need to clarify the route.
- D. Administer 2 mg of morphine every 2 hr: The prescription states that the morphine should be administered every 4 hours, not every 2 hours. Administering the medication more frequently than prescribed could lead to overdose or other adverse effects.
It is important for nurses to carefully review all prescriptions and clarify any uncertainties with the prescriber to ensure that medications are administered correctly and safely.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is © 280 g of protein/day.
Choice A reason: This choice suggests that the client needs 80 g of protein/day. However, this is not correct because the client’s weight is 220 lb (which is approximately 100 kg), and they require an increase of protein by 2.0 g/kg/day. This means they need an additional 200 g of protein per day. Adding this to their past intake of 0.8 g/kg/day (which is 80 g/day), the total comes to 280 g/day.
Choice B reason: This choice suggests that the client needs 120 g of protein/day. The client’s total protein requirement per day is more than this.
Choice C reason:
Given:
- The client's weight is 220 lb.
- The client requires an increase of protein by 2.0 g/kg/day.
- The client has taken 0.8 g of protein/kg/day in the past.
We know that 1 kg = 2.2 lbs. So, we first need to convert the client's weight from lbs to kg.
Step 1: Convert the client's weight from lbs to kg
220 lb ÷ 2.2 lb/kg = 100 kg
Next, we calculate the increased protein requirement.
Step 2: Calculate the increased protein requirement
100 kg × 2.0 g/kg/day = 200 g/day
Then, we calculate the past protein intake in g/day.
Step 3: Calculate the past protein intake
100 kg × 0.8 g/kg/day = 80 g/day
Finally, we add the past protein intake to the increased protein requirement to get the total protein/day the nurse should recommend.
Step 4: Calculate the total protein/day
200 g/day + 80 g/day = 280 g/day
Choice D reason: This choice suggests that the client needs 400 g of protein/day. However, this is not correct because it exceeds the client’s total protein requirement per day, which is 280 g/day.
Correct Answer is A
No explanation
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