Pharmacological and Parenteral Therapies Q 15

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Which of these findings indicate that a pump to deliver a basal rate of 10 ml per hour plus PRN for pain breakthrough for morphine drip is not working?

  

     A. The client complains of discomfort at the IV insertion site

     B. The client states “I just can’t get relief from my pain.”

     C. The level of the drug is 100 ml at 8 AM and is 80 ml at noon

     D. The level of the drug is 100 ml at 8 AM and is 50 ml at noon

    

    

Correct Answer: C. The level of the drug is 100 ml at 8 AM and is 80 ml at noon

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The minimal dose of 10 mL per hour which would be 40 mL given in a four (4) hour period. Only 60 mL should be left at noon. The pump is not functioning when more than expected medicine is left in the container.

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Option A: Discomfort at the IV insertion site may indicate inflammation or infection of the site.

Option B: Morphine is a strong painkiller indicated for severe pain.

Option D: The pump is working correctly if there is only 50 ml left at noon.

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