The nurse is caring for a client after intrathecal administration of fentanyl. Which assessment indicates a need to notify the physician?
a. Respirations c. Sedation
b. Mild itching d. Pressure with con-tractions
A
Respirations of 9 is an indication of respiratory distress, a complication with the use of intrathecal opioids. Mild itching would not require notification of the health care provider. Sedation is an expected disadvantage with intrathecal opioids. Pressure with contractions is not associated with the need to notify the health care provider following intrathecal opioid administration.
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