A client with cancer has been taking an opioid analgesic four times daily for chronic pain and reports needing increased doses for pain. Which of the following is a proper response?
The risk of respiratory depression increases over time. Use your incentive spirometer to assist with this normal side effect.
You are addicted and should take a different medication. We can discuss this with your provider.
Over time, people can develop a tolerance to opioids. We can discuss increasing your dose with the provider.
Take your medication more often to help control the pain. You can double the frequency if needed.
The Correct Answer is C
a) Mentioning respiratory depression is not directly addressing the reported need for increased pain relief and might cause unnecessary concern about a side effect.
b) Accusing the client of addiction without further assessment or consideration of medical guidance is not appropriate and may damage the therapeutic relationship.
c) Developing tolerance to opioids is a common phenomenon, and discussing an increase in dosage with the healthcare provider is a reasonable response.
d) Advising the client to take the medication more often without consulting the healthcare provider can lead to unsafe practices and is not recommended.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
a) Liver disease can affect drug metabolism and clearance, influencing the response to medications.
b) Gender may play a role in drug response, as there are some gender-related differences in drug metabolism and distribution.
c) Height can influence drug dosing, especially for medications with weight-based dosing.
d) Age is a crucial factor in drug response, as the metabolism and elimination of drugs can vary across different age groups.
e) Genetic factors, including variations in drug-metabolizing enzymes and drug receptors, can significantly impact an individual's response to a drug.
Correct Answer is B
Explanation
A) Alcohol use, even before the client knew she was pregnant, may have some impact, but it is not the primary concern immediately after delivery.
B) Intravenous morphine administration during labor can lead to respiratory depression in the newborn, and monitoring is crucial. Naloxone may be needed to reverse opioid effects.
C) A high-pitched cry and irritability may be signs of opioid withdrawal, not related to the alcohol use.
D) Administering opioids to the infant is not appropriate and could worsen any respiratory depression.
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