MONA

On the NCLEX, do you think morphine or oxygen comes first for an MI?

I just encountered a Q about this on Kaplan.

I put oxygen because I thought "airway".

But the right answer was morphine FIRST. O2 2nd.

So I guess for the purpose of the NCLEX, we use MONA in that order??

yes , that makes sense to me.. good luck :)

yes , that makes sense to me.. good luck :)

I studied with Kaplan and whenever I approached a priority question I always selected the question that:

1. If I had to do one thing and go home, which action would I perform

2. Which action is the safiest

In this question, If you give the morphine, understand the action of morphing, and its affects on clients with an MI, then selecting this answer would be the best option. Although, O2 does provide the body with the needed oxygen to supply the cardiac system, If you only gave O2 and went home, would your patient survive?

i totally agree with ur explanation "Justwannab09" i was about to explain the same thing on this post, guess u are faster to reply. thanks

That's my point exactly. My Saunders book said to give O2 first, then Nitrates, THEN morphine...everything says something different.

That's my point exactly. My Saunders book said to give O2 first, then Nitrates, THEN morphine...everything says something different.

According to the represenative's from Kaplan, they stand 100% behind their content and rationales. One exam day you will choose one answer, and do exactly like I did, guessed, prayed, then hit the next button....

Well should I guess Oxygen first, or guess morphine first. Because as far as MI medicating goes, I always heard give Nitro first x 3...and if that doesn't work THEN use morphine? I just looked in my Med/surg book, it said nitro before morphine, saunders says it too...what makes Kaplan right?

Was the question asking what would you do FIRST, or what's the highest priority? Morphine would be a highest priority I think, but everything else says do 02 first...

the question was phrased: "which of the following actions, if taken by the nurse is BEST?"

and then the rationale was the priority was to reduce pain, decrease metabolic demand, increase cardiac output etc and that O2 would be implemented after morphine.

I came across that question when doing Kaplan and I was very mad about it. My teacher in school was VERY adamant about O2, then Nitro, Aspirin and Morphine last. All these teachers need to get on the same page!!!!

I wonder what page the NCLEX people are on? Well it doesn't say do morphine FIRST. It says morphine is BEST. So Oxygen maybe FIRST, but Morphine is the MOST effective...

I learned O2 was first in school and that's what is done in practice on my unit. Also that nitro (x3) was before morphine (which is also standard practice on my unit).