The nurse is preparing to administer morphine sulfate 2 mg IV push to a client with chest pain. Which sequence of actions best demonstrates correct nursing practice?

The nurse is preparing to administer morphine sulfate 2 mg IV push to a client with chest pain. Which sequence of actions best demonstrates correct nursing practice?

• A. 2-5-4-3-1
• B. 2-3-4-5-1
• C. 1-4-5-3-2
• D. 5-2-4-3-1

Answer: (A)

The main idea is to administer an opioid with careful verification and ongoing safety checks. Start by confirming the physician’s order and the patient’s identity to ensure you’re giving the right drug to the correct person. Then assess the patient’s current status, especially respirations, blood pressure, oxygen saturation, and pain level, because opioids can depress breathing and lower blood pressure in someone with chest pain. After confirming status, prepare the morphine dose and verify it against the order and MAR, ensuring the IV access is patent and the dose is correct. Before administering, perform a final safety check that the patient has no known allergy or contraindication to morphine. Finally, give the morphine IV push per protocol (typically over a short, controlled period) and monitor closely afterward for pain relief and potential adverse effects such as respiratory depression, hypotension, sedation, or N/V, ready to intervene if needed.

The main idea is to administer an opioid with careful verification and ongoing safety checks. Start by confirming the physician’s order and the patient’s identity to ensure you’re giving the right drug to the correct person. Then assess the patient’s current status, especially respirations, blood pressure, oxygen saturation, and pain level, because opioids can depress breathing and lower blood pressure in someone with chest pain. After confirming status, prepare the morphine dose and verify it against the order and MAR, ensuring the IV access is patent and the dose is correct. Before administering, perform a final safety check that the patient has no known allergy or contraindication to morphine. Finally, give the morphine IV push per protocol (typically over a short, controlled period) and monitor closely afterward for pain relief and potential adverse effects such as respiratory depression, hypotension, sedation, or N/V, ready to intervene if needed.