Practice Quiz

NCLEX-PN

Category - Pharmacological Therapies

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A female client comes to the facility complaining of severe pain in the upper abdomen, extending to the right shoulder. The client is diagnosed with acute cholecystitis and Demerol (meperidine) is ordered. The client says, “Why aren’t you giving me morphine? I need it now.” Which of the following responses by the nurse is the most effective?
  1. “Are you addicted to morphine?”
  2. “Morphine may cause spasms of the bile duct, which can worsen your pain.”
  3. “Morphine can cause formation of gallstones. It can worsen your pain.”
  4. “Morphine is not as efficient as Demerol in managing pain.”
Explanation
Answer: B - Morphine is not given to clients with cholecystitis, as it can cause spasms in the biliary ducts and sphincter of Oddi, which worsen the pain. The other options are not appropriate.
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