A patient who has had abdominal surgery has been receiving morphine sulfate via a patient-controlled analgesia (PCA) pump. The nurse assesses the patient and notes that the patient’s pupils are dilated and that the patient is very lethargic and is difficult to awaken. The patient’s heart rate is 84 beats per minute, the respiratory rate is 6 breaths per minute, and the blood pressure is 88/50 mm Hg. What is the nurse’s best action at this time?

Glipizide (Glucotrol), a sulfonylurea, has been added to a patient’s drug regimen. Because this medication promotes insulin release from beta cells, the RN alerts this patient to do which of the following? 

A 72 year-old gentleman is scheduled to go home on doxazosin, an alpha blocker, for benign prostatic hypertrophy (BPH). What information is essential to provide this patient before he leaves the clinic? Select all that apply. 

A young adult postoperative patient is receiving morphine 2 to 4 mg IV every 2 hours PRN pain. The last dose was 3 mg and was given 2 hours ago. The patient is asleep, and the nurse notes a heart rate of 56 beats per minute and a respiratory rate of 5 breaths per minute. Which PRN medication will the nurse prepare to give to this patient?

A patient on a medical floor is receiving treatment for Cushing’s Disease. The nurse understands this condition is a result of which of the following? 

A 70 year old patient arrives to the emergency room with complaints of diarrhea that has lasted several days. He is tested for the clostridium difficile infection and the test is negative. An IV line has been placed, IV fluids have been started to help with hydration, and labs have been drawn. The nurse expects to receive an order for which medication?

The nurse is describing the action of a sucralfate to a nursing student. The nurse correctly describes the mechanism of action by which sucralfate helps to heal ulcers by stating which of the following?

Match each drug with the associated nursing consideration. 

A 14 year-old pediatric patient is in the ER with an acute asthma exacerbation receiving continuous albuterol nebulizer treatments. An IV has been obtained successfully. The nurse understands that which of the following is not appropriate in the care of this patient? 

A pregnant women is taking over-the-counter calcium carbonate (Tums) for ongoing heartburn. Which of the following side effects should the nurse have the patient monitor for?