The nurse accidentally administers 15 mg of morphine IM to a client who had been given another dose of morphine 15 mg IM about 30 minutes earlier. What action should the nurse be prepared to take?

Assistance with endotracheal intubation

Administration of protamine sulfate

Administration of naloxone (Narcan)

Administration of oxygen

Answer and Explanation

The Correct Answer is C

A. Endotracheal intubation might be necessary in severe cases of respiratory depression, but it is not the first step in addressing opioid overdose.
B. Protamine sulfate is the antidote for heparin, not morphine.
C. Naloxone (Narcan) is an opioid antagonist that can rapidly reverse the effects of opioid overdose, including respiratory depression.
D. Administration of oxygen is supportive care but does not address the root cause of opioid overdose.

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Correct Answer is D

Explanation

A. Medications should be diluted as per pharmacy recommendations, not arbitrarily with 10 mL of tap water.
B. The head of the bed should be elevated to at least 30-45 degrees during and after feeding to prevent aspiration.
C. Medications should not be mixed together to avoid interactions unless recommended by the pharmacy.
D. Flushing the NG feeding tube with 30 mL of water immediately following medication administration ensures that the medication has cleared the tube and prevents clogging.

A. Acupuncture, massage, and imagery B. Massage, acupressure, and music C. Music, relaxation, and touch D. Hypnotherapy, spirituality, and relaxation

Correct Answer is C

Explanation

A. Acupuncture is considered higher risk and usually requires specialized training.
B. Acupressure is also higher risk and requires specific knowledge and skill.
C. Music, relaxation, and touch are considered low-risk therapies that can be safely used by nurses to enhance patient comfort and well-being.
D. Hypnotherapy is a more specialized therapy that may require additional training.

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The nurse accidentally administers 15 mg of morphine IM to a client who had been given another dose of morphine 15 mg IM about 30 minutes earlier. What action should the nurse be prepared to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feedings. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

Which of the following are examples of low-risk complementary and alternative therapies that nurses can use with their clients?

Correct Answer is C

Explanation

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