Question

In: Nursing

A client presents to the ED with complain of chest pain, SOB, loss of appetite and...

A client presents to the ED with complain of chest pain, SOB, loss of appetite and mood changes over the last two days. The client is taking morphine and acetamenophen for his pain. The client is allergic to aspirin, sulfa and codeine. The attending physician orders the following medications for the client: ASA 325 mg 1 tab po stat, morphine 3 mg IV x 1 and 650 mg acetamenophen po every four hours for pain > 5/10. What would be the nurse's FIRST action.

give the medications as prescribed and monitor the client

Withhold the order and clarify the medications

Ask the patient what happens when they take aspirin

Give all the medications and a dose of beneadryl for the aspirin allergy

Solutions

Expert Solution

Medication has to given as per order and monitored but first assess the patient for its safety.so this statement is second priority .

Morphine is used to treat the pain of the patient but it can suppress the respiratory center. So before administering ensure patient's oxygen saturation ,respiratory rate are within normal limit. Here the patient is having shortness of breath .Therefore administration of this drug can further aggrevate it and lead to fatal condition. So this withhold the medicine and clarify before giving the medicine.

Asking the patient about the aspirin effect is not applicable here. Moreover he has not taken this drug before

Additional drug cannot be given without order, so the last statement is incorrect

Ans: withhold the order and clarify the medications

Nightingale answered 2 years ago
Next > < Previous

Related Solutions

A middle-age man presents to the emergency department (ED) with reports of chest pain and indigestion....
A middle-age man presents to the emergency department (ED) with reports of chest pain and indigestion. He reports some minor discomfort in his jaw. The patient is alert and oriented; BP 90/50; HR/80. You are the RN assigned to his care. There is an unlicensed assistive personnel (UAP) working with you. 1.The patient's wife is very concerned about her husband returning to work as owner of a roofing company. What education will you provide the patient and his wife at...
A middle-age man presents to the emergency department (ED) with reports of chest pain and indigestion....
A middle-age man presents to the emergency department (ED) with reports of chest pain and indigestion. He reports some minor discomfort in his jaw. The patient is alert and oriented; BP 90/50; HR/80. You are the RN assigned to his care. There is an unlicensed assistive personnel (UAP) working with you. 1. Which assessment data will you perform on his arrival to the ED? Why? 2. The provider orders labs, 12-lead ECG, IV fluids, blood pressure checks, medication for chest...
he client presents with loss of appetite, nausea, vomiting and no bowel movement for 5 days....
he client presents with loss of appetite, nausea, vomiting and no bowel movement for 5 days. He is diagnosed with a bowel obstruction. Patient states, "I feel so bloated...". He vital signs are BP 164/80, RR 28, P 96, T 99, pain is 3/10. He is scheduled for surgery for lysis of adhesions with potential ileostomy placement and a nasogastric tube. Identify subjective and objective findings from the nurse’s assessments. Describe nursing One Intervention that should be performed based on...
The last patient the nurse sees today presents to the ED with a complaint of chest...
The last patient the nurse sees today presents to the ED with a complaint of chest tightness, tingling in the hands, and headache. He has noticeable trembling of the hands. He states, "I swear I think I am having a heart attack!" His vital signs are BP 162/88 – 104 – 32 and afebrile. The ED provider orders laboratory work including cardiac panel, chemistry panel, CBC, and arterial blood gases (ABGs). The provider tells the nurse "I think he is...
John Doe entered ABC Hospital ER with c/o chest pain, SOB, and nausea. The doctor on...
John Doe entered ABC Hospital ER with c/o chest pain, SOB, and nausea. The doctor on call Ordered an EKG, blood work, began a regimen of O2, and prescribed salicylic acid. The initial blood work had the following findings: WBC 8300; RBC 5.3; normal levels of troponin; HDL 43; LDL 220; BUN25. John has a hx of CHF and CKD. John’s VS were as follows: BP 163/88; HR 93; RR 24. John takes medicine for HTN and Nitro for angina...
Scenario John Doe has entered the ED complaining of: Dizziness Weakness SOB on exertion Loss of...
Scenario John Doe has entered the ED complaining of: Dizziness Weakness SOB on exertion Loss of appetite 1.Complete a head to toe assessment 2.What questions would you ask John Doe 3.From the lab results what treatments would the physician order? 4.What education would you provide to John Doe? 5.Explain what these tests are and what the abnormal values mean and what would be your nursing management? WBC RBC HGB HCT Platelet Count
A 35-year-old man presents to the emergency department with complaints of chest pain. The pain improves...
A 35-year-old man presents to the emergency department with complaints of chest pain. The pain improves by leaning forward. On review, he has noted a flu-like illness over the last several days including fever, runny nose and cough. Upon further investigation his blood test indicates signs/parameters for infection. He denies tobacco, alcohol or drug use. His head and neck examination is notable for clear mucus in the nasal passages. However, his jugular venous pressure is high. Also, during his cardiac...
Case: Chest Pain F.C. is a 57-year-old male who presents to the emergency department with chest...
Case: Chest Pain F.C. is a 57-year-old male who presents to the emergency department with chest pain and shortness of breath. Subjective data: PMH: HTN, hyperlipidemia, coronary artery bypass graft 4 years ago secondary to myocardial infarction Sudden onset shortness of breath Crushing feeling, chest pain 10/10 Current smoker, 1 pack a day for 41 years Objective data: Vital signs: T 37 C, P 72, R 20, BP 144/64 Lungs: clear bilaterally O2 sat: 94% Skin: cool to touch CV:...
A 37-year patient comes into the urgent care and presents with chest pain and hyperventilation. During...
A 37-year patient comes into the urgent care and presents with chest pain and hyperventilation. During the assessment process, his vitals are recorded, a brief health history is recorded, he is inspected visually from head to toe, asked about current medications and his chief complaints are addressed. Asking him to breathe through pursed lips or into cupped hands alleviates his hyperventilation. He was also given the option to hold his breath for 10-15 seconds at a time. After lying down...
A 37-year patient comes into the urgent care and presents with chest pain and hyperventilation. During...
A 37-year patient comes into the urgent care and presents with chest pain and hyperventilation. During the assessment process, his vitals are recorded, a brief health history is recorded, he is inspected visually from head to toe, asked about current medications and his chief complaints are addressed. Asking him to breathe through pursed lips or into cupped hands alleviates his hyperventilation. He was also given the option to hold his breath for 10-15 seconds at a time. After lying down...
ADVERTISEMENT
Subjects
ADVERTISEMENT
Latest Questions
ADVERTISEMENT