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PNE 105 VERNON WATKINS
VSIM EXAM PREP STUDY
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, Morphine is administered by the nurse in the patient experiencing pulmonary embolism in order
to accomplish which of the following? (Select all that apply.)
Improve oxygenation
Decrease preload
Decrease afterload
Decrease anxiety
Decrease pain
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Decrease anxiety
Decrease pain
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Decrease preload due to vasodilation effect.
Rationale: Small doses of IV morphine are administered to relieve the patient's pain and ease
adaption to mechanical ventilation, if needed, which may also assist in reducing anxiety.
Morphine also decreases preload due to its venous vasodilation effects.
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True or False: A pulmonary embolism requires emergency treatment.
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True.
Rationale: A pulmonary embolism (PE) is considered a medical emergency, as death can occur
within one hour if not treated promptly.
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What measure would the nurse take after interpreting the following arterial blood gas (ABG)
results for a postoperative patient on a 40% oxygen face mask? pH 7.34 PaCO2 46 mm Hg
HCO3 26 mEq/L PaO2 86 mm Hg.
Monitor the respiratory rate and depth closely.
Rationale: The ABG reveals an uncompensated respiratory acidosis. The PaCO2 is slightly
elevated. CO2 retention can result from a decreased respiratory rate or depth. The PaO2 is
within normal limits, so an increase in oxygen is not needed. The provider should be notified of
the ABG results, but it is not an emergency or requiring intubation.