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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Awareness of signs and symptoms is important, but routine evaluation of lithium levels is crucial for those taking lithium carbonate due to its narrow therapeutic range and potential toxicity.
B. Monitoring serum lithium levels is essential to ensure the medication remains within the therapeutic range and to prevent potential lithium toxicity.
C. Participating in therapy can be beneficial but might not be as critical as monitoring lithium levels for someone newly diagnosed with bipolar disorder.
D. While independence is important, the key concern here is the need for close monitoring of lithium levels due to the medication's potential side effects.
Correct Answer is B
Explanation
A. Inquiring about the mother's other children might not directly address her current emotional distress and might not be an immediate concern.
B. Asking if the mother has ever thought about harming herself or her child is essential to assess the severity of her depressive thoughts and the risk of harm.
C. Encouraging journaling can be helpful as part of coping, but in this context, addressing immediate concerns about self-harm is more crucial.
D. Reassurance is important, but in this case, providing false hope or assurance about achieving milestones may not be realistic and might not address the mother's current distress.
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