Author Question: A client in the emergency department with a fractured leg is prescribed morphine for pain. Prior to ... (Read 102 times)

chads108 · **on:** Jun 25, 2018

A client in the emergency department with a fractured leg is prescribed morphine for pain. Prior to giving the first dose of medication, the nurse should ask about alcohol or sedative intake during the day because:

1. giving morphine while the client is drinking can cause urinary retention.
2. the client might experience constipation.
3. morphine is a central nervous system depressant.
4. morphine can cause clots if there has been alcohol ingestion.

Question 2

The nurse is caring for a client with a history of performing self-harm behavior. Which actions should the nurse encourage the client to perform instead of implementing self-harm? (Select all that apply.)

1. Yelling
2. Sing loudly
3. Kicking the dog
4. Taking a cold shower
5. Count the ceiling tiles

iman · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 3

1. Morphine can cause urinary retention, but that is a side effect that may be expected and is not affected by other substances.
2. Constipation is also a side effect of morphine that is not affected by other substances.
3. Morphine, alcohol, and sedatives are all CNS depressants. The nurse should ask the client about substance intake to prevent over-sedation or respiratory depression.
4. Morphine does not cause clots.

Answer to Question 2

Answer: 1, 2, 4, 5

1. Suggestions to try instead of self-harm include yelling.
2. Suggestions to try instead of self-harm include singing loudly.
3. Kicking the dog would not be appropriate behavior.
4. Suggestions to try instead of self-harm include taking a cold shower.
5. Suggestions to try instead of self-harm include counting the ceiling tiles.