A client with acute coronary syndrome (ACS) is experiencing severe nausea and vomiting. Which of the following interventions demonstrates the nurse's understanding of the pathophysiology of nausea and vomiting in ACS?Cassidy RhodyID: 112703Question 18Select one:1.Perform a 12 lead electrocardiogram2.Administer metoprolol 25 mg po q12h3.Administer morphine 2.5 mg IV 1-2 hrs prn4.Apply oxygen at 2L/min
Question
A client with acute coronary syndrome (ACS) is experiencing severe nausea and vomiting. Which of the following interventions demonstrates the nurse's understanding of the pathophysiology of nausea and vomiting in ACS?Cassidy RhodyID: 112703Question 18Select one:1.Perform a 12 lead electrocardiogram2.Administer metoprolol 25 mg po q12h3.Administer morphine 2.5 mg IV 1-2 hrs prn4.Apply oxygen at 2L/min
Solution
The correct intervention that demonstrates the nurse's understanding of the pathophysiology of nausea and vomiting in ACS would be to administer morphine 2.5 mg IV 1-2 hrs prn.
Here's why:
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Performing a 12 lead electrocardiogram: This is a diagnostic tool used to assess the electrical and muscular functions of the heart. While it's important in diagnosing ACS, it doesn't directly address the symptoms of nausea and vomiting.
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Administer metoprolol 25 mg po q12h: Metoprolol is a beta-blocker that is used to treat high blood pressure and chest pain. While it can help manage some symptoms of ACS, it doesn't directly address nausea and vomiting.
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Administer morphine 2.5 mg IV 1-2 hrs prn: Morphine is a powerful pain reliever. It can also help to reduce anxiety and relieve the feeling of shortness of breath, which can indirectly help with nausea and vomiting. This is the best choice among the options given.
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Apply oxygen at 2L/min: While oxygen therapy can help with shortness of breath and chest pain in ACS, it doesn't directly address the symptoms of nausea and vomiting.
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