The nurse is preparing to administer IM morphine sulfate to a client who is in pain. On checking the physician’s prescription, the nurse notes that the prescription states, “morphine sulfate 60 mg IM every 4 hours as needed for pain.” The usual dose of morphine is 10 to 15 mg. What is the most appropriate action for the nurse to take?
1. Administer the medication as prescribed.
2. Administer 15 mg of the drug.
3. Contact the physician to verify the prescription.
4. Ask another nurse to review the prescription.
The most appropriate action is to contact the physician to verify that the prescription is correct. Although 60 mg of morphine is a significant dose, the amount of morphine administered to a client can vary widely, especially if a client has been taking morphine for an extended period and has developed a tolerance to the medication.
The safest approach is for the nurse to verify prescriptions that do not appear to fall within the norm. Administering the medication without verification is unsafe. The nurse cannot decide to reduce the amount of a prescribed medication without a prescription. Asking another nurse to review the prescription is not inappropriate; however, checking with the physician to verify the prescription should be done.
CN: Pharmacological and parenteral therapies; CL: Synthesize
小编寄语：Sometimes God doesn't give you what you want, not because you don't deserve it, but because you deserve more.有时候，上天没有给你想要的，不是因为你不配，而是你值得拥有更好的。