A Patient with Congestive Heart Failure and Pulmonary Edema Is

question 11

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 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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Definitions:

Competing

Engaging in a rivalry or contest with others to achieve superiority or a win.

Conflict Management

The practice of identifying and handling conflicts in a sensible, fair, and efficient manner, with strategies varying from avoidance to confrontation.

Assertive Communication

A communication style in which individuals express their own needs, desires, and opinions respectfully and directly.

Collaboration

The action of working with someone to produce or create something, often seen as a powerful way to achieve common goals.