A Licensed Vocational Nurse (LVN) Is Working with a Technician

question 1

Multiple Choice

A licensed vocational nurse (LVN) is working with a technician who says, "I wouldn't give that high dose of morphine if I were you. I once saw someone quit breathing with a dose that high." The LVN knows that the patient has been receiving the same dose for several days without any respiratory compromise. Which of the following responses by the LVN is best?

• A)"As long as the dose is increased gradually, patients develop tolerance to the side effects of morphine."
• B)"You are correct; several days of this high a dose could be cumulative and cause problems."
• C)"As long as I monitor the patient closely after giving the dose, breathing will not be affected."
• D)"I am a licensed professional and am able to decide what a safe dose is for my patient."

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Definitions:

Presynaptic Membrane

A region of the neuron that releases neurotransmitters in response to an action potential.

Postsynaptic Membrane

The part of the neuron or muscle cell that receives signals from another neuron at a synapse.

Storage Granule

Membranous compartment that holds several vesicles containing a neurotransmitter.

Serotonergic System

A part of the nervous system that utilizes serotonin as its neurotransmitter, playing a crucial role in regulating mood, appetite, and sleep.