After administering morphine for pain control, which change in a post-operative client's status requires the nurse's immediate attention?

After administering morphine for pain control, which change in a post-operative client's status requires the nurse's immediate attention?

• A. Alertness improves significantly
• B. Client reports pain relief
• C. Evidence of reduced urine output
• D. Increased nausea is reported

Answer: (C)

The need for immediate attention in the context of administering morphine revolves around the impact of this medication on the body, particularly in relation to kidney function and fluid balance. Morphine can lead to an increased risk of urinary retention due to its effects on the bladder and can cause changes in renal perfusion and urine output. When a post-operative client experiences reduced urine output following morphine administration, it may indicate several potential complications, such as dehydration, fluid overload, or even the onset of acute kidney injury. Given the therapeutic effects of morphine, which include pain relief and sedation, a reduction in urine output could signify an adverse effect that requires prompt assessment and intervention to avoid serious complications. While improvement in alertness or reports of pain relief are positive outcomes that suggest the medication is effective, these do not necessitate immediate intervention. Likewise, increased nausea, though it may be uncomfortable for the patient, is a common side effect of opioids and would typically be managed with supportive care rather than requiring urgent attention.

The need for immediate attention in the context of administering morphine revolves around the impact of this medication on the body, particularly in relation to kidney function and fluid balance. Morphine can lead to an increased risk of urinary retention due to its effects on the bladder and can cause changes in renal perfusion and urine output.

When a post-operative client experiences reduced urine output following morphine administration, it may indicate several potential complications, such as dehydration, fluid overload, or even the onset of acute kidney injury. Given the therapeutic effects of morphine, which include pain relief and sedation, a reduction in urine output could signify an adverse effect that requires prompt assessment and intervention to avoid serious complications.

While improvement in alertness or reports of pain relief are positive outcomes that suggest the medication is effective, these do not necessitate immediate intervention. Likewise, increased nausea, though it may be uncomfortable for the patient, is a common side effect of opioids and would typically be managed with supportive care rather than requiring urgent attention.