A client in the emergency department with a fractured leg is prescribed morphine for pain. Prior to giving the first dose of medication, the nurse should ask about alcohol or sedative intake during the day because:
1. giving morphine while the client is drinking can cause urinary retention.
2. the client might experience constipation.
3. morphine is a central nervous system depressant.
4. morphine can cause clots if there has been alcohol ingestion.
Answer: 3
1. Morphine can cause urinary retention, but that is a side effect that may be expected and is not affected by other substances.
2. Constipation is also a side effect of morphine that is not affected by other substances.
3. Morphine, alcohol, and sedatives are all CNS depressants. The nurse should ask the client about substance intake to prevent over-sedation or respiratory depression.
4. Morphine does not cause clots.
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