A nurse is educating a client about pain management with opioids. Which of the following information should the nurse include?

Diarrhea is a common adverse effect of opioids.

Opioids can increase urinary output.

Long-term use of opioids may cause dependence.

Tolerance to opioids will require a decreased dose.

Answer and Explanation

The Correct Answer is C

A. Diarrhea is a common adverse effect of opioids. This statement is incorrect. Opioids commonly cause constipation, not diarrhea, as they slow down gastrointestinal motility.
B. Opioids can increase urinary output. This statement is incorrect. Opioids can actually cause urinary retention rather than increasing urinary output.
C. Long-term use of opioids may cause dependence. This statement is correct. Long-term use of opioids can lead to physical dependence, where the body adapts to the drug, and withdrawal symptoms occur if the drug is abruptly discontinued.
D. Tolerance to opioids will require a decreased dose. This statement is incorrect. Tolerance to opioids means that over time, higher doses of the drug are needed to achieve the same level of pain relief, not a decreased dose.

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Correct Answer is C

Explanation

A. A child who recently received the human papillomavirus vaccine. This is not a contraindication for receiving the varicella vaccine. Vaccines can generally be administered simultaneously or at any interval between doses of different vaccines.
B. A young adult who has an allergy to eggs. This is not a contraindication for the varicella vaccine. The varicella vaccine does not contain egg proteins, so an egg allergy does not prevent someone from receiving it.
C. A client who has AIDS. This is a contraindication for the varicella vaccine. Individuals with severe immunocompromising conditions, such as AIDS, should not receive live vaccines like the varicella vaccine due to the risk of severe vaccine-related complications.
D. An older adult client living in a long-term care facility. This is not a contraindication for the varicella vaccine. Older adults can receive the varicella vaccine unless they have specific contraindications such as severe immunocompromise.

A. Vomiting 30 mL of fluid B. Blood pressure 90/60 mm Hg C. Respirations deep at a rate of 10/min D. Urinary output of 20 mL within 1 hr

Correct Answer is C

Explanation

A. Vomiting 30 mL of fluid. This finding is not the priority because while vomiting can be a side effect of morphine, it is not immediately life-threatening.
B. Blood pressure 90/60 mm Hg. This finding is concerning but not the priority. Morphine can cause hypotension, but the primary concern with morphine administration is respiratory depression.
C. Respirations deep at a rate of 10/min. This finding is the priority because morphine can cause respiratory depression, which can be life-threatening. Monitoring and addressing respiratory status is critical when administering opioids.
D. Urinary output of 20 mL within 1 hr. This finding is concerning but not the priority. Low urinary output can indicate dehydration or renal issues, but respiratory depression is the most immediate concern with morphine administration.

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A nurse is educating a client about pain management with opioids. Which of the following information should the nurse include?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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