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 D

Explanation

A. Gemfibrozil is a lipid-lowering agent and does not have a significant interaction with nitroglycerin. It is not contraindicated for use with nitroglycerin.
B. Lansoprazole is a proton pump inhibitor used to treat acid-related stomach issues. It does not interact with nitroglycerin and is safe to use concurrently.
C. Diazepam is a benzodiazepine used for anxiety and muscle spasms. While it can cause hypotension, it is not specifically contraindicated with nitroglycerin.
D. Sildenafil is a phosphodiesterase inhibitor used to treat erectile dysfunction. It is contraindicated with nitroglycerin because both medications cause vasodilation, which can lead to severe hypotension and cardiovascular collapse. Patients should not use these medications together.

A. “Exercise caution when changing positions.” B. “Increase the amount of sodium in your diet.” C. “Take a daily potassium supplement.” D. “Monitor your pulse rate before taking medication.”

Correct Answer is A

Explanation

A. “Exercise caution when changing positions.” This statement is correct because captopril, an ACE inhibitor, can cause orthostatic hypotension, which is a sudden drop in blood pressure when changing positions. Patients should be advised to rise slowly from sitting or lying positions to prevent dizziness and falls.
B. “Increase the amount of sodium in your diet.” This statement is incorrect because increasing sodium intake can counteract the blood pressure-lowering effects of captopril. Patients are usually advised to maintain a low-sodium diet to help manage their blood pressure effectively.
C. “Take a daily potassium supplement.” This statement is incorrect because captopril can increase potassium levels in the blood, potentially leading to hyperkalemia. Patients should be advised to avoid potassium supplements and potassium-rich foods unless directed by their healthcare provider.
D. “Monitor your pulse rate before taking medication.” This statement is incorrect because monitoring pulse rate is not typically necessary for patients taking captopril. The primary concern with captopril is blood pressure, not heart rate.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the list of current medications for a client who has a new prescription for nitroglycerin. The nurse should identify that which of the following client medications is contraindicated for use with nitroglycerin?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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