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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Administer the medication while wearing protective footwear is not a standard precaution for administering hazardous IV medications. Protective footwear is generally used to prevent physical injuries rather than chemical exposure.
B. Wear an N95 respiratory mask when administering the medication is necessary for airborne precautions but not typically required for administering hazardous IV medications unless there is a risk of aerosolization.
C. Administer the medication in a negative pressure room is used for airborne infection isolation but is not a standard requirement for administering hazardous IV medications.
D. Wear gloves when handling the medication is essential to protect the nurse from exposure to hazardous drugs. Gloves provide a barrier to prevent skin contact with the medication, reducing the risk of absorption and contamination.
Correct Answer is D
Explanation
A. Oral candidiasis is not a common adverse effect of metoclopramide. It is more commonly associated with antibiotic use.
B. Black stools can indicate gastrointestinal bleeding but are not a typical adverse effect of metoclopramide.
C. Dry cough is not associated with metoclopramide. It is more commonly related to respiratory conditions or certain medications like ACE inhibitors.
D. Tardive dyskinesia is a serious adverse effect of metoclopramide, especially with long-term or high-dose use. It involves involuntary, repetitive movements and can be irreversible.
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