R.J., a 79-year-old man, underwent abdominal surgery for resection… R.J., a 79-year-old man, underwent abdominal surgery for resection of his colon. After the surgery, his physician prescribed morphine 10 mg every 3 to 4 hours as needed. R.J. did not ask for pain medication because he worried he might become addicted. A day after the surgery, R.J.’s nurse noted that he was restless and grimaced whenever he moved in bed. He refused to breathe deeply or cough when instructed to do so. The nurse compared R.J.’s vital signs with his baseline findings and noted an increased pulse rate and a drop in systolic blood pressure.. Should the nurse give morphine? Explain your answer.2. What would your reaction be to R.J. in regard to his restlessness, grimacing, and refusal to breathe deeply and cough?3. What is the significance of the change in vital signs?4. What classic side effects of opioid analgesics should the nurse assess?5. What are some possible nonpharmacologic measures that might be helpful in alleviating R.J.’s pain?The second postoperative day, R.J. began asking for morphine every 3 hours. On the fifth day, the physician discontinued R.J.’s morphine and prescribed acetaminophen with codeine.6. Why was the opioid analgesic order changed?7. R.J. does not want to ambulate. What is an appropriate nursing response? Health Science Science NursingNUR 117
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