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 B

Explanation

A. Understanding the purpose of the medication regimen is important but might not be the most immediate concern.
B. Improving sleep to at least six hours a night addresses the client's reported insomnia and supports their physical well-being.
C. Describing the reasons for hospitalization might be essential for the client's understanding but might not have the immediate urgency.
D. Meeting the scheduled appointment with the dietitian is important for nutritional concerns but might not directly address the client's reported sleep and weight loss within the first three days of treatment.

A. Five-pound (2.3 kg) weight gain. B. Depressed affect. C. Nausea and vomiting D. Short-term memory loss.

Correct Answer is C

Explanation

A. A five-pound weight gain could be significant but might not require immediate reporting unless it continues to increase rapidly.
B. A depressed affect is concerning but may not warrant immediate reporting unless it signals a severe change in the client's mental state.
C. Nausea and vomiting could indicate lithium toxicity, a serious side effect requiring immediate attention and evaluation by the healthcare provider.
D. Short-term memory loss can be a side effect of lithium but might not pose an immediate threat unless severe or rapidly worsening.

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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

An antidepressant medication is prescribed for a client who reports sleeping only four hours in the past two days and a weight loss of nine pounds within the last month. Which client goal is most important to achieve within the first three days of treatment?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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