A Patient with Extensive Second-Degree Burns on the Legs and Trunk

question 13

Multiple Choice

A patient with extensive second-degree burns on the legs and trunk is using patient-controlled analgesia (PCA) with IV morphine to be delivered at 1 mg every 10 minutes to control the pain. Several times during the night, the patient awakens in severe pain, and it takes more than an hour to regain pain relief. The most appropriate action by the nurse is to

• A) request that the health care provider order a bolus dose of morphine to be given when the patient awakens with pain.
• B) consult with the patient's health care provider about adding a continuous morphine infusion to the PCA regimen at night.
• C) teach the patient to push the button every 10 minutes for an hour before going to sleep even if the pain is minimal.
• D) administer a dose of morphine every 1 to 2 hours from the PCA machine while the patient is sleeping.

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Definitions:

Yield To Maturity

The total return expected on a bond if held until it matures, accounting for its current price, face value, interest payments, and time to maturity.

Zero-Coupon Bond

A bond that does not pay periodic interest and is sold at a deep discount from its face value.

Market Yield

The annual income return as a percentage of the market price of an investment.

Zero-Coupon Bond

A type of bond that does not pay interest during its life but is sold at a deep discount, providing profit at maturity when it is redeemed for its face value.