Question: The nurse is assigned to a client who has had surgery. Nalbuphine (Nubain) is prescribed for pain. For which side effects/adverse reactions should the nurse assess this client after administering this medication? Select all that apply.
1. Oliguria
2. Dry mouth
3. Palpitations
4. Constipation
5. Urinary retention
6. Orthostatic hypotension
Rationale: Dry mouth, palpitations, and constipation are side effects of nalbuphine HCl (Nubain). Also, orthostatic hypotension may occur with nalbuphine HCl. The ability to form urine is not affected; an increased urinary output or frequency may occur. Urinary urgency, not retention, is a reaction to nalbuphine HCl.
Client Needs: Pharmacological and Parenteral Therapies
Cognitive Level: Analysis
Nursing Process: Evaluation
This week’s NCLEX exam practice question came from:
Nugent: Mosby's Review Questions for the NCLEX-RN Examination, 7th Edition, Chapter 2, Page 181, Question9
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