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ISPN考试模拟试题(310)

Question:

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

Answer:3

 

翻译

 

问题:

护士正准备给一位疼痛的病人注射硫酸吗啡。在检查医生的处方时,护士注意到处方上写着硫酸吗啡60毫克每4小时按需注射一次。吗啡的通常剂量是1015毫克。护士最应该采取什么行动?

1.按处方服药。

2.给药15毫克。

3.联系医生核实处方。

4.请另一位护士复查处方。

 

答案:3

最恰当的做法是联系医生,以核实处方是否正确。尽管60毫克吗啡是一个相当大的剂量,但给病人的吗啡用量可能会有很大的变化,特别是如果病人长期服用吗啡并对药物产生了耐受性。

对护士来说,最安全的方法是核实似乎不在规范范围内的处方。未经核实而服用药物是不安全的。没有处方,护士不能决定减少处方药的用量。请另一名护士检查处方并不是不恰当的;但是,与医生核实处方是应该的。

CN:药理学和肠外治疗;CL:合成

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。

时间:2020/7/24 17:56:19
 
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