Difficulty: Medium
Average Score: 77%
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
B
Rationale
The correct answer is B: Nalbuphine. The nurse should clarify this prescription because nalbuphine is an opioid agonist-antagonist, which can potentially interfere with the analgesic effects of morphine. It may lead to decreased pain control in the client. Ondansetron (A) is commonly used for nausea and vomiting, insulin glargine (C) for diabetes management, and acetaminophen (D) for pain relief, and these medications do not have significant interactions with morphine via PCA pump in cancer patients.