A Patient with Congestive Heart Failure and Pulmonary Edema Is

question 6

Multiple Choice

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 5-30 min PRN until chest pain is relieved. The last dose of 4 mg was 15 min 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 1-5 min.
• B) Administer naloxone (Narcan) to reverse respiratory depression.
• C) Request an order for morphine sulfate IV 2 mg over 1-5 min.
• D) Hold the next dose and notify the provider of the patient's symptoms.

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