Morphine sulfate patient-controlled analgesia

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Reference no: EM133924977

Question

Judy (pronouns: she/her/hers), 55-years-old, was admitted for a colon resection for a cancerous tumor. The surgeon ordered a morphine sulfate patient-controlled analgesia (PCA) pump to help control the pain. The client has not had surgery before, so she is unsure what to expect. Judy has a history of cancer and diabetes mellitus type 1.? Vital signs T 97.6 °F (39.1 °C) oral?, HR 48, BP 90/50, RR 10, and SpO2 89% on room air. The client is nauseated and reported dizziness and a headache. She rates her pain 8 out of 10 on a pain scale and is uncomfortable to move and unable to rest.? Generating Solutions Prior to discharge, the nurse reviews the nursing diagnosis and establishes nursing actions in the plan of care to help meet client goals.? Match the nursing action with the appropriate nursing diagnosis. Nursing Diagnosis Nursing Action Administer supplemental oxygen as ordered to maintain SpO2 saturation levels of at least 90%. Describe satisfactory pain control at a level less than 3 to 4 on a rating scale of 0 to 10. Evaluate the client's vital signs, including temperature and blood glucose levels. Check baseline vital signs and blood glucose levels and monitor trends.

Reference no: EM133924977

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