Test Question bugging me

[mike.m]

A client has a patient controlled anagesia pump for pain control. The basal rate of the morphine is 2mg per hour with added demand dosing of 1 mg every 15 min PRN. What is tje anticipated outcome?

1. Increase risk of nausea and vomiting due to frequent demand dosing

2. Respiratory rate of 16-20 per min

3. increase risk of developing narcotic tolerance

4. Increased risk for oversedation due to basal rate

[leslie :-D]

Maybe so, but that answer would be wrong. The question is asking for an anticipated OUTCOME. In otherwords, it is asking for the outcome you are seeking. Plus, honestly, for an adult, this is NOT alot of morphine. But even if it were, that is not the OUTCOME you are looking for. Good luck!

i agree.

oversedation would be very low probability.

2mg is nothing.

i'd pick #2 in a heartbeat.

leslie

[Tait, MSN, RN]

Maybe so, but that answer would be wrong. The question is asking for an anticipated OUTCOME. In other words, it is asking for the outcome you are seeking. Plus, honestly, for an adult, this is NOT a lot of morphine. But even if it were, that is not the OUTCOME you are looking for. Good luck!

Good point, I guess at 4am on day two of work I was thinking more of the dangers of a basal looking like a priority.

[Daytonite, BSN, RN]

a client has a patient controlled analgesia pump for pain control. the basal rate of the morphine is 2mg per hour with added demand dosing of 1 mg every 15 min prn. what is the anticipated outcome?

1. increase risk of nausea and vomiting due to frequent demand dosing

2. respiratory rate of 16-20 per min

3. increase risk of developing narcotic tolerance

4. increased risk for oversedation due to basal rate

i don't know how it was that i missed seeing this thread because i would have answered it in a heartbeat. it requires knowledge of the drug and the nursing process in order to think critically and come up with the correct answer which is

2. respiratory rate of 16-20 per min.

nursing's definition of an outcome, as others so nicely stated already, and what the root of the question is asking, is the

positive

predicted result of our interventions. they are never stated as negative results. goals and outcomes either improve, stabilize or support the deterioration of the patient problem the nursing interventions are addressing. while a drug is a medical intervention, nursing is monitoring and giving it in a collaborative effort to address the patient's pain. nausea and vomiting, narcotic tolerance and oversedation due to basal rate are all negative effects of morphine (so you had to know the actions and side effects of the drug) that would make them all mutually exclusive leaving only #2 as the answer in this case even if you didn't know whether the dose given was a safe dose or not.

[I<3Nursing]

I agree with 2!

[asoonernurse]

I'd say Mystic Nurse hit the nail right on the head. The question is asking for an expected outcome.

1, 3 and 4 are nursing diagnoses.

Only 2 shows any kind of outcome. So, if you look at it this way, it is not a poor question at all.

Best of Luck.

Michael

[goodstudentnowRN]

a client has a patient controlled analgesia pump for pain control. the basal rate of the morphine is 2mg per hour with added demand dosing of 1 mg every 15 min prn. what is the anticipated outcome?

1. increase risk of nausea and vomiting due to frequent demand dosing

2. respiratory rate of 16-20 per min

3. increase risk of developing narcotic tolerance

4. increased risk for oversedation due to basal rate

i don't know how it was that i missed seeing this thread because i would have answered it in a heartbeat. it requires knowledge of the drug and the nursing process in order to think critically and come up with the correct answer which is

2. respiratory rate of 16-20 per min.

nursing's definition of an outcome, as others so nicely stated already, and what the root of the question is asking, is the

positive

predicted result of our interventions. they are never stated as negative results. goals and outcomes either improve, stabilize or support the deterioration of the patient problem the nursing interventions are addressing. while a drug is a medical intervention, nursing is monitoring and giving it in a collaborative effort to address the patient's pain. nausea and vomiting, narcotic tolerance and oversedation due to basal rate are all negative effects of morphine (so you had to know the actions and side effects of the drug) that would make them all mutually exclusive leaving only #2 as the answer in this case even if you didn't know whether the dose given was a safe dose or not.

thanks as usual daytonite. i always use your explanation to answer nursy questions.

[Babs0512]

Poorly stated question, but if I had to answer, I would say 2 is correct.

[Valerie Salva, BSN, RN]

Not such a great question, but the anticipated outcome is not a nursing diagnosis. It is what you WANT to see happen. So the respirations between 16 and 20 has to be the right answer.

I agree.