58. An older client complains that, in the past, some analgesics have caused urinary retention and constipation. Which analgesic should a nurse tell the client would not cause those problems?
58. An older client complains that, in the past, some analgesics have caused urinary retention and constipation. Which analgesic should a nurse tell the client would not cause those problems?
Test-Taking Tip
Look at the two frequently used opioid analgesics (morphine and meperidine). Select the option that has fewer GI problems.
Content Area: Geriatrics, Pain Control; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Adverse Effects/Contraindications/Interactions
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Answer 1 is incorrect because Lomotil, an opioid, is used to control diarrhea. Answer 2 is incorrect because constipation and urinary retention are common with morphine. Answer 3 is correct because meperidine produces less constipation. However, all opioids used in the management of pain can cause constipation. Answer 4 is incorrect because fentanyl does cause constipation. This drug is usually reserved for anesthesia or cancer-related pain.
