Difficulty: Medium
Average Score: 93%
Simulated
A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?
Correct answer
A
Rationale
The correct answer is A: Nalbuphine. The nurse should clarify this prescription because nalbuphine is an opioid analgesic antagonist. Co-administration with morphine, an opioid agonist, can lead to decreased analgesic effects and potential opioid withdrawal symptoms. Acetaminophen (B) is a non-opioid analgesic and does not interact significantly with morphine. Ondansetron (C) is an antiemetic commonly used with opioids to prevent nausea and vomiting. Insulin glargine (D) is a long-acting insulin used to manage diabetes and does not have a direct interaction with morphine.