A patient receiving morphine sulfate 5 mg IV every 4 hours around the clock and acetaminophen PO every 4 hours reports intense itching. Assuming all are ordered, which prn medication should the nurse administer?
a. Ibuprofen (Motrin)
b. Fentanyl (Duragesic)
c. Nalbuphine (Nubain)
d. Methadone (Dolophine)
ANS: C
Nalbuphine (Nubain) is an agonist-antagonist that can be used to treat itching and nausea that may accompany the administration of opioids. A smaller dose can be given so that the analgesia is not reversed completely along with the reversal of the adverse effect. B. D. Fentanyl and methadone are opioids that may worsen itching. A. Motrin is an NSAID and will not be helpful.
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