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Asked by CountFlagGorilla27
After five days in the hospital, the mother noticed Ellie’s breathing “was different” after the last dressing change. The mother pushed the call light and the nurse entered. The mother stated, “I put my hand on her chest and it doesn’t move much. I’ve never seen her this sleepy.” On examination, the client had shallow breathing and respirations at 8 per minute, and was difficult to arouse and lethargic. Select the findings in this clinical situation that put the client at risk for respiratory arrest. Upon review of the client’s electronic health record (EHR), the primary care provider reviewed that day’s medications to identify possible causes of this sudden change in respiratory status. They discovered the client had received oxycodone three times in less than 8 hours (one dose prior to the dressing change and two doses after). The charge nurse checked the automated dispensing system (ADS) and found a higher concentration of oxycodone solution stored. Consequently, the dose administered to the client was almost five times what was ordered.
SCIENCE
HEALTH SCIENCE
NURSING
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