Question 1: Postoperatively, Mr. Hemsley has been ordered PRN I.V. 2.5mg to 5mg Morphine for his pain relief. Discuss one (1) nursing care consideration for the safe administration of this medication. Question 2: Discuss one (1) non-pharmacological nursing comfort measure you can undertake to help manage Mr. Hemsley’s postoperative pain. Question 3: A sigmoid colostomy was performed on Mr. Hemsley during surgery. Discuss one (1) nursing consideration when caring for the patient with a colostomy during the postoperative period. Health Variation 1

Please answer three questions regarding the case study.

Question 1: Mr. Hemsley was postoperatively given a PRN IV. For pain relief, he took 2.5mg-5mg Morphine. Talk to one (1) nurse about safe medication administration.
Question 2: Discuss one (1) non-pharmacological nursing comfort measure you can undertake to help manage Mr. Hemsley’s postoperative pain.
Question 3. A sigmoid colonostomy was done on Mr. Hemsley in the course of surgery. Consider one (1) consideration for nursing care during postoperative periods when the patient has a colonostomy.

 

One Health Variation

 

Answer

Question 1.

One of the most important nursing care considerations for the patient would be during the drug administration, which is a process starting from the patient’s assessment before drug intake and after the administration to watch his progress. It is important that a nursing assistant assess the patient’s level of consciousness and pulse before administering any morphine. (Telford 2010, 2020). You may need to apply physical stimulation to avoid hypoventilation. When the respiratory rate is <10/min, it would be important to assess sedation levels to advise on subsequent doses that may need to be reduced by 25–50% (Telford, 2020). Morphine may also cause depression in the central nervous system, leading to fatalities (Zelga, 2021). Registered nurses should monitor the medication and look out for side effects such as respiratory depression or other complications.

The nurse must check the IV line before administering the morphine.

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