A client reports needing to increase opioid dosage to achieve the original level of pain relief.Which action should the nurse take?

Explain that opioid receptor response reduces with continued use.

Collect information on all sources used to obtain opioids.

Advise that detoxification will be needed to reattain pain relief.

Discuss the dangers of using opioids for non-medical purposes.

Answer and Explanation

The Correct Answer is A

A.   Explaining the phenomenon of opioid tolerance and receptor response reduction with continued use helps the client understand why increased dosage might be needed.
B.   Collecting information on opioid sources is important but doesn't directly address the issue of increased tolerance.
C.   Detoxification might be an extreme measure and is not the first step in addressing increased opioid tolerance.
D.   Discussing the dangers of opioid misuse is essential, but it doesn't address the specific issue of increased tolerance for pain relief.

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Correct Answer is A

Explanation

A. Exploring changes in life after the loss can help the nurse understand the client's current situation and provide a basis for further interventions.
B. Suggesting psychiatric consultation might be necessary but might not be the immediate first step without assessing the client's current needs.
C. Offering a referral to pastoral counseling might be helpful, but understanding the client's current state is important before making specific referrals.
D. Encouraging attendance at a local support group could be beneficial but might not be the immediate priority without understanding the client's current emotional state.

A. Discuss alternative strategies for binging and purging. B. Provide a supportive, structured environment for meals. C. Monitor the client after meals for possible vomiting. D. Assess weight, vital signs, potassium, and other electrolytes.

Correct Answer is D

Explanation

A. Discussing alternative strategies is important but might not be the initial priority without first assessing the client's physical health.
B. Providing a supportive environment for meals is crucial, but assessing the client's physical status should take precedence.
C. Monitoring for vomiting after meals is important, but a comprehensive assessment of physical health should come first.
D. Assessing weight, vital signs, and electrolytes is crucial in determining the client's current physical health status and any potential risks associated with bulimia.

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A client reports needing to increase opioid dosage to achieve the original level of pain relief.Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who is experiencing extreme sadness after the passing of a companion of 30 years. The client describes not being able to think of other things and finds it difficult to control emotions. Which action should the nurse take first?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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