Author Question: The nurse assesses that a patient receiving epidural morphine has not voided for over 10 hours. What ... (Read 30 times)

K@ · **on:** Jun 25, 2018

The nurse assesses that a patient receiving epidural morphine has not voided for over 10 hours. What action should the nurse take initially?

a. Monitor for withdrawal symptoms.
b. Place an indwelling urinary catheter.
c. Ask if the patient feels the need to void.
d. Document this allergic reaction in the patient's chart.

Question 2

The nurse teaches a student nurse about the action of ibuprofen. Which statement, if made by the student, indicates that teaching was effective?

a. The drug decreases pain impulses in the spinal cord.
b. The drug decreases sensitivity of the brain to painful stimuli.
c. The drug decreases production of pain-sensitizing chemicals.
d. The drug decreases the modulating effect of descending nerves.

shaquita · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
Urinary retention is a common side effect of epidural opioids. Assess whether the patient feels the need to void. Since urinary retention is a possible side effect, there is no reason for concern of withdrawal symptoms. Placing an indwelling catheter requires an order from the health care provider. Usually an in and out catheter is performed to empty the bladder if the patient is unable to void because of the risk of infection with an indwelling catheter. Urinary retention does not indicate that this reaction is an allergic reaction.

Answer to Question 2

ANS: C
Nonsteroidal antiinflammatory drugs (NSAIDs) provide analgesic effects by decreasing the production of pain-sensitizing chemicals such as prostaglandins at the site of injury. Transmission of impulses through the spinal cord, brain sensitivity to pain, and the descending nerve pathways are not affected by NSAIDs.