The second shift nurse is taking a report from the first shift nurse, whose behavior has changed in the past few weeks. Other nurses have commented that the first shift nurse has had a lot of stress at home. The first shift nurse reports that Mrs. M. just received an IM injection of 8 mg of morphine 20 minutes ago, and he has not had time to assess Mrs. M.’s response to the pain medication. The second shift nurse assesses Mrs. M., who states, “It has not helped my pain at all.” How should the nurse manage this situation?
Please respond in no less than 250 words.
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Answer: Due to excessive workload and increased pressure, the nurse faces burnout. This lead to decrease efficiency in taking care of the patients. The first shift nurse faces lots of stress at home. This could be the reason that the nurse wasn't able to concentrate or provide better care to the patient. This reduces the efficacy of the treatment. The second shift nurse should assess the pain of the patient. For the relief from pain, it is important that nurse should start with the lowest dose of morphine. As the patient has already provided morphine injection of 8 mg given Intramuscularly, at present the nurse can give IV injection of morphine ranging from the dose 2mg to 10mg. But as the patient already got dose Intramuscularly, it is suggested to give lowest dose that is 2mg IV to the patient. This will provide relief to the patient.
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