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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Urinary output might be important in some contexts but is not the priority related to the use of MAO inhibitors.
B. MAO inhibitors like phenelzine can affect blood pressure significantly; monitoring BP is crucial due to the risk of hypertensive crisis when certain foods or medications are taken.
C. Respiratory rate might be a consideration in some situations but is not directly affected by MAO inhibitors.
D. Temperature is not typically a primary concern related to MAO inhibitor use; blood pressure monitoring is more crucial due to potential interactions.
Correct Answer is D
Explanation
A. Haloperidol might be used in some detoxification scenarios but isn't directly indicated based on the information provided.
B. Folic acid is not an immediate medication administered during alcohol detoxification.
C. Trazodone is used for other purposes and is not an immediate medication in alcohol detoxification.
D. Vitamin B1 (thiamine) supplementation is crucial during alcohol detoxification to prevent Wernicke-Korsakoff syndrome or other neurological complications associated with
alcohol withdrawal.
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