Question

Both are select all that apply!

QUESTION 17 A spouse of a hospice client wants to know why the sublingual dose of morphine is so much lower than the MS Contin dose that was given orally, and the IM dose that was recently given in the hospital, how should the nurse respond? O MS Contin acts slowly. Sublingual morphine acts rapidly, with more intensity He is losing consciousness, so his need for pain control is less The MS Contin was partly metabolized in the liver before it started working Sublingual doses enter the bloodstream more quickly than IM doses, so their effects can be more sudden and profound. This dose must be a mistake. He should need more medicine, not less. You should contact the provider immediately, and tell him I told you to call. QUESTION 18 A client who is taking Haldol, Aricept, Colace, Tums and Ampicillin is experiencing bowel urgency and incontinence. Which of their medicines may be contributing to their diarrhea? U Omnipen (ampicillin) IV q 6 hours Ditropan, (an anticholinergic to prevent neurogenic bladder) U Magnesium oxide (Mag Ox) after meals and at bedtime Polyethylene Glycol (Miralax) BID Oscal (calcium carbonate plus vitamin D) tid with meals

Answer 1

Question 17

The sublingual medication can enter the blood stream quickly and start acting within 10 to 15 minutes.

An IM injection enters immediately in blood from muscle within few minutes ,approximately 10 to 15 minutes

The intensity of pain can remain more discomforting at the end of life

This MS contin completely gets metabolized in the liver

It cannot be a mistaken dise because it is calculated as per the need and patient health conditions

Ans:MS contin acts slowly. Sublingual morphine acts rapidly with more intensity

Question 18.

Antibiotics usually has one of the most reported side effects of diarrhea and gastrointestinal discomfort compared to any other drug here

The use of Ditropan can either cause diarrhea or constipation

Magnesium oxide are used as laxative to relieve constipation

Polyethylene Glycol can seize loose stools

Oscal can cause constipation

Ans:Omnipen(ampicillin)IV q 6 hours,Ditropan,(an anticholinergicto prevent neurogenic bladder)