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After three doses (0.5 mg each) of morphine from the patient controlled analgesia (PCA) device, Mrs. Mays started vomiting and stated that she was feeling “out of her head.” She rated her chest pain as 3 on a scale of 0 to 10. She is breathing comfortably on 2 L of nasal cannula oxygen, and her lung sounds are clear to auscultation. Her husband is very concerned and anxious about his wife and wants the morphine stopped so she will not become “addicted.”

 

·          Do you think Mrs. Mays is allergic to morphine? Support your answer.

·         What do you need to tell Mr. and Mrs. Mays about the adverse effects of morphine?

·         Which interventions do you need to complete before consulting the health care provider?

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