Reference no: EM133793534

Question

Client admitted today for shortness of breath and productive cough. Diagnosed with pneumonia and pneumothorax. History of hypertension, heart disease, and COPD. Reports pain with deep breathing and coughing. Rates pain as 9 on a scale of 0 to 10. Reports no chest pain, dizziness, palpitations. Received provider prescriptions. 1515: Administered hydrocodone/acetaminophen per provider prescription. 1700: Provider at bedside for chest tube insertion. Provider prescription received for the procedure. Administered morphine at 1705 and assisted provider with procedure. 1725: Shallow breathing. Client not responding to questions. Unarousable to sternal rub. Which of the following actions should the nurse take? Select all that apply. Monitor cardiac rhythm. Administer physostigmine 0.5 mg IV bolus. Administer naloxone 0.4 mg IV bolus. Administer acetylcysteine 150 mg/kg mg IV bolus over 1 hr. Assess for opioid withdrawal manifestations. Administer flumazenil 0.2 mg IV bolus. Monitor respirations for 30 min. Monitor for bradycardia. Prepare ventilatory resuscitation equipment.