The nurse administers nalbuphine (Nubain) to a patient who is ...

[maychende]

The nurse administers nalbuphine (Nubain) to a patient who is experiencing severe pain. Which statement by the patient indicates a need for further teaching about this drug?
 
  a. I may experience unusual dreams while taking this medication.
  b. I may need to use a laxative when taking this drug.
  c. I should ask for assistance when I get out of bed.
  d. I should expect to have more frequent urination.

Question 2

The nurse is caring for a patient who was admitted with a fractured leg and for observation of a closed head injury after a motor vehicle accident. The patient reports having pain at a level of 3 on a 1 to 10 pain scale.
 
  The nurse will expect the provider to order which analgesic medication for this patient?
  a. Acetaminophen (Tylenol) PO
  b. Hydromorphone HCl (Dilaudid) IM
  c. Morphine sulfate PCA
  d. Transdermal fentanyl (Duragesic)

[pikon]

Answer to Question 1

ANS: D
A common side effect of opioid agents is urinary retention. Patients should notify the nurse if they cannot void. Side effects may include unusual dreams, constipation, and dizziness.

Answer to Question 2

ANS: A
Use of opioid analgesics is contraindicated for patients with head injuries because of the risk of increased intracranial pressure. If opioids are necessary because of severe pain, they must be given in reduced doses. This patient is experiencing mild pain, so acetaminophen is an appropriate analgesic.

[maychende]

Thanks for the timely response, appreciate it

[Sarahjh]

Excellent