A Postoperative Patient Who Had Surgery for a Perforated Gastric

question 28

Multiple Choice

A postoperative patient who had surgery for a perforated gastric ulcer has been receiving nasogastric suction for 3 days. The patient now has a serum sodium level of 127 mEq/L (127 mmol/L) . Which prescribed therapy should the nurse question?

• A)Infuse 5% dextrose in water at 125 mL/hr.
• B)Administer 3% saline at 50 mL/hr for a total of 200 mL.
• C)Administer IV morphine sulfate 4 mg every 2 hours PRN.
• D)Give IV metoclopramide (Reglan) 10 mg every 6 hours PRN for nausea.

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