An older client receiving intravenous morphine sulfate is experiencing nausea and vomiting. What action should the nurse take at this time?
1. Provide the client with meperidine for pain as prescribed.
2. Suspend the use of morphine and use a different opioid analgesic.
3. Provide a prescribed antiemetic for a few days and gradually taper it.
4. Discuss using nonopioid analgesics since the client cannot tolerate them.
3. Provide a prescribed antiemetic for a few days and gradually taper it.
Explanation: 1. Meperidine is not a recommended medication for pain control in the older client because of harmful metabolites.
2. The client needs to develop tolerance to the morphine. Another opioid analgesic may produce the same side effects of nausea and vomiting.
3. Opioid analgesics are associated with nausea and vomiting. The use of an antiemetic can be implemented for a short period and then withdrawn. The client will then be able to tolerate the opioid.
4. The client's level of pain is severe in that intravenous morphine is being used. Nonopioid analgesics may not help control this client's pain.
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