The healthcare provider prescribes 2.5 mg IV of morphine sulfate to be administered to a patient with a ruptured intervertebral disk whose pain has not been controlled with NSAIDs and muscle relaxants.
The nurse has a 1 milliliter (mL) syringe containing 10 mg of morphine sulfate. How many milliliters of morphine sulfate does the nurse need to withdraw from the syringe?
_____ mL
Calculate the exact dosage.
Question 2A patient with a spinal cord injury at the T1 level complains of a severe headache and an anxious feeling. Which is the most appropriate initial reaction by the nurse?
1. to try to calm the patient and make the environment soothing
2. to assess for a full bladder
3. to notify the healthcare provider
4. to prepare the patient for diagnostic radiography
Question 3A school nurse is called after a student falls down a flight of stairs. The student is breathing but unconscious. After calling the ambulance, what should the nurse do?
1. assess the neck for movement
2. place the patient on the side to prevent aspiration
3. immobilize the neck, securing the head
4. try to rouse the patient by gently shaking the shoulders
Question 4A patient recovering from a spinal cord injury (SCI) is experiencing gastric distress. Which medication should the nurse expect to be prescribed for this patient?
1. omeprazole (Prilosec)
2. dopamine (Intropin)
3. baclofen (Lioresal)
4. dantrolene (Dantrium)
Question 5A patient is placed in ventilator support with the diagnosis of botulism and failure to thrive. Which nursing actions would be most appropriate for this patient?
Select all that apply.
1. maintaining intravenous fluids at KVO (keep vein open)
2. assessing bowel sounds once a shift
3. referring the patient for a physical therapy consult
4. monitoring total parenteral nutrition infusion
5. assessing urinary output every hour
Question 6A victim of a motor vehicle crash has an acute cervical spinal cord injury. Which problem should the nurse identify as the priority for this patient?
1. fluid maintenance
2. changes in mobility
3. problems with the airway
4. altered blood flow
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