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 choice c. Avoid walking barefoot.
Choice A rationale:
Wearing open-toed shoes is not recommended for clients with diabetic neuropathy because it increases the risk of foot injuries and infections. Closed-toed shoes provide better protection.
Choice B rationale:
Washing feet in hot water is not advisable as it can cause burns or damage to the skin, especially since clients with diabetic neuropathy may have reduced sensation and may not feel the temperature accurately. Lukewarm water should be used instead.
Choice C rationale:
Avoiding walking barefoot is crucial for clients with diabetic neuropathy to prevent injuries, cuts, and infections. Walking barefoot increases the risk of stepping on sharp objects or developing sores that may go unnoticed due to reduced sensation.
Choice D rationale:
Applying lotion between the toes is not recommended because it can create a moist environment that promotes fungal infections. Lotion should be applied to the tops and bottoms of the feet, but not between the toes.
Correct Answer is A
No explanation
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