John April, 24 years of age, is a male patient who was admit…
John April, 24 years of age, is a male patient who was admitted to the surgical unit after a successful repair of an inguinal hernia. He is 5 feet 10 inches tall and weighs 120 kg. He has a neck circumference of 21 inches. The patient has a morphine PCA. The patient complains of incision pain and rates it on the pain scale as 7 of 10. His family is visiting at the bedside. The nurse administers a bolus dose of morphine. Fifteen minutes after administering the pain medication, a family member enters the hallway and yells, “We need help in here! John is not breathing.” The nurse finds John having periods of apnea lasting a few seconds followed by a short snorting gasp and then he begins breathing at a rate of 12 breaths/min. His lips and nail beds are bluish in coloration. The patient is lying supine in the bed with the head of the bed almost flat. He awakens as the nurse enters, but is very lethargic and somnolent. As John’s nurse, please state: 1. Your first prioritized nursing intervention and the rationale. (1 point) 2. Your second prioritized nursing intervention and the rationale. (1 point)