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4. Surgery has informed a nurse that the patient returning to the floor after spinal surgery has an opioid epidural catheter for pain management. The nurse should prepare to monitor the patient for which side effects of an opioid epidural catheter? *Select all that apply.*

a. Urinary frequency
b. Nausea
c. Itching
d. Respiratory depression

User Rushikumar
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Final answer:

Patients with an opioid epidural catheter should be monitored for urinary retention, nausea, itching, and respiratory depression. Urinary frequency is not expected. Respiratory depression is a critical side effect requiring vigilant surveillance.

Step-by-step explanation:

The nurse should prepare to monitor the patient with an opioid epidural catheter for several common side effects that can result from opioid use. The side effects to watch for include:

  • Urinary retention
  • Nausea
  • Itching
  • Respiratory depression

Urinary frequency is not typically a side effect of opioids; rather, patients may experience urinary retention, as opioids can cause relaxation of the detrusor muscles of the bladder. Nausea and itching are relatively common side effects. Respiratory depression is the most serious side effect and involves a reduction in the urge to breathe and can be life-threatening, hence requires careful monitoring.

User Hyrial
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