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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Definitions:

Compliance Plan

A set of internal policies and procedures implemented by a company to comply with laws, regulations, and ethical standards.

Fraud

Deceptive practice or action intended to result in financial or personal gain.

Coding And Billing

The process of translating healthcare services into standard codes for insurance claims and managing patient billing.

Moderate Sedation

A drug-induced depression of consciousness during which patients respond purposefully to verbal commands, either alone or accompanied by light tactile stimulation, without interventions required to maintain a patent airway.