Question

The client with an acute myocardial infarction has the greatest need for IV access and is likely to receive morphine, which will relieve pain and increase venous capacitance. The other clients may also need IV access for the delivery of pain medication, other drugs, or IV fluids, but the need is less urgent.

A. IV access is less urgent for clients with an acute myocardial infarction.

B. Morphine is contraindicated in clients with acute myocardial infarction.

C. IV access is equally urgent for all clients in pain.

D. Venous capacitance is decreased by morphine.

Answer 1

The correct statement is that the client with an acute myocardial infarction has the greatest need for IV access and may receive morphine to relieve pain and increase venous capacitance.

Step-by-step explanation:

The statement made in the question is not accurate. In the given scenario, the client with an acute myocardial infarction (MI) has the greatest need for IV access. This is because IV access is crucial for the administration of various medications and fluids to manage the condition effectively. Morphine is commonly used in patients with acute MI to relieve pain and reduce anxiety, but it is not contraindicated. In fact, it can help increase venous capacitance, meaning it decreases venous return to the heart, which in turn reduces the workload on the heart. Therefore, option A is incorrect.

Regarding option B, morphine is not contraindicated in clients with acute MI as it is commonly used as a first-line treatment to manage pain in these patients. Therefore, this option is incorrect as well.

Option C states that IV access is equally urgent for all clients in pain, which is not true. While clients in pain may require IV access for pain medication or other drugs, the urgency varies depending on the severity of the condition. For example, in the case of acute MI, the need for IV access is greatest due to the immediate need for pain relief and administration of medications to manage the heart condition. Hence, this option is incorrect too.

Option D implies that morphine decreases venous capacitance, which is the opposite of its effect. Morphine increases venous capacitance, meaning it decreases venous return to the heart. This reduces the workload on the heart and can help alleviate chest pain in clients with acute MI. Therefore, option D is incorrect.

In conclusion, the correct statement is that the client with an acute myocardial infarction has the greatest need for IV access. Morphine is commonly used in these clients to relieve pain and increase venous capacitance, not decrease it. IV access may also be needed for other clients in pain, but the urgency is less compared to acute MI.