The nurse is reviewing the client’s medical record.
Exhibits
For each potential provider’s prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.
A.
Metoprolol 15 mg IV bolus
B.
Oxygen at 2 L/min via nasal cannula
C.
Draw electrolytes along with Hgb and Hct
D.
Morphine 6 mg IV bolus every 3 hr as needed for pain
E.
Nitroglycerin 0.5 mg SL now may repeat every 5 min up to 3 doses
F.
Obtain daily weight
G.
Atropine 0.5 mg IV bolus every 5 min up to 2 mg if heart rate drops below 60
The Correct answer and Explanation is:
To categorize the potential prescriptions for the client, we must consider the client’s condition, the medications, and their implications. Below is an assessment of each prescription:
A. Metoprolol 15 mg IV bolus
Category: Anticipated
Metoprolol is a beta-blocker used to manage hypertension, heart failure, and other cardiovascular conditions. If the client has a history of hypertension or tachycardia, this medication is appropriate and anticipated as part of the treatment plan.
B. Oxygen at 2 L/min via nasal cannula
Category: Anticipated
Providing supplemental oxygen is a standard intervention for clients who exhibit signs of hypoxia or respiratory distress. If the client has respiratory issues or decreased oxygen saturation, this prescription is necessary and anticipated.
C. Draw electrolytes along with Hgb and Hct
Category: Anticipated
Electrolytes, hemoglobin (Hgb), and hematocrit (Hct) levels are critical assessments, particularly in clients who may be experiencing fluid imbalance or who have conditions affecting metabolism or hydration. This prescription is essential for ongoing assessment.
D. Morphine 6 mg IV bolus every 3 hr as needed for pain
Category: Anticipated
If the client is experiencing moderate to severe pain, morphine is an appropriate analgesic. Pain management is crucial in nursing care, making this prescription anticipated based on the client’s condition.
E. Nitroglycerin 0.5 mg SL now may repeat every 5 min up to 3 doses
Category: Anticipated
Nitroglycerin is used to relieve chest pain (angina) by dilating blood vessels. If the client presents with chest pain or has a history of angina, this prescription is appropriate and expected.
F. Obtain daily weight
Category: Anticipated
Monitoring daily weight is critical for clients at risk of fluid overload, especially those with heart failure or on diuretics. This intervention is standard practice and anticipated.
G. Atropine 0.5 mg IV bolus every 5 min up to 2 mg if heart rate drops below 60
Category: Anticipated
Atropine is indicated for bradycardia. If the client has a heart rate below 60, administering atropine is necessary to stabilize the heart rate, making this prescription appropriate.
Summary
All the listed prescriptions fall into the “anticipated” category, suggesting that they are reasonable and expected based on the client’s clinical condition. Each medication or intervention aligns with common nursing protocols for managing specific health issues, ensuring optimal patient care. Continuous evaluation of the client’s response to these interventions will be essential in guiding further treatment decisions.