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 D
No explanation
Correct Answer is A
Explanation
The correct answer is choice A: Severity.
Choice A rationale:
When a nurse asks a client to rate their pain on a scale of 0 to 10, they are assessing the severity of the pain. This is a common method used in healthcare to quantify a patient’s pain level. It helps the healthcare provider understand the intensity of the pain from the patient’s perspective and plan appropriate interventions.
Choice B rationale:
Quality of pain refers to the characteristics or nature of the pain. For example, the pain could be described as sharp, dull, burning, aching, etc. In this case, the nurse is not asking about the quality of the pain.
Choice C rationale:
Region refers to the location of the pain. While the nurse knows that the client is experiencing back pain, asking the client to rate their pain on a scale doesn’t provide information about the specific region of the pain.
Choice D rationale:
Precipitating cause refers to what triggers or worsens the pain. The nurse’s question about rating the pain does not seek information about what might have caused or exacerbated the client’s back pain.
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