Step-by-step explanation:
The correct answer is:
a. Respiratory distress
When a client is receiving morphine via a continuous epidural infusion, the nurse should be vigilant for potential complications or adverse effects of the medication. Among the options provided, respiratory distress is the most critical finding that should be reported to the provider immediately.
Morphine is a potent opioid analgesic that can depress the respiratory system. Respiratory distress in this context may include symptoms such as difficulty breathing, shortness of breath, rapid or shallow breathing, or decreased oxygen saturation. These signs indicate a potentially life-threatening situation, and immediate medical intervention is required.
Hypertension, mild itching at the infusion site, decreased bowel sounds, and drowsiness and confusion can be side effects or common findings associated with morphine administration. While these symptoms should be monitored and reported to the provider, they are not as urgent or immediately life-threatening as respiratory distress.