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aenriquez17 aenriquez17
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6 years ago
A patient with congestive heart failure and pulmonary edema is experiencing chest pain. The patient has an order for morphine sulfate IV 4 mg every 5 to 30 minutes PRN until chest pain is relieved.
 
  The last dose of 4 mg was 15 minutes prior, and the patient is complaining of chest pain and exhibiting increased work of breathing. The nurse notes a heart rate of 82 beats per minute, a respiratory rate of 18 breaths per minute, and a blood pressure of 135/88 mm Hg. What will the nurse do next?
  a. Administer morphine sulfate IV 4 mg over 1 to 5 minutes.
  b. Administer naloxone (Narcan) to reverse respiratory depression.
  c. Request an order for morphine sulfate IV 2 mg over 1 to 5 minutes.
  d. Hold the next dose and notify the provider of the patient's symptoms.
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maggie11maggie11
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6 years ago
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