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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Familial history of mental illness is important but might not directly impact the initiation of sertraline treatment.
B. Medication history is the most important information to obtain before starting sertraline. This includes any current medications the client is taking, especially other antidepressants, anticoagulants, or medications that may interact with sertraline. Sertraline is a selective serotonin reuptake inhibitor (SSRI), and it can interact with other medications, such as monoamine oxidase inhibitors (MAOIs) or other serotonergic drugs, leading to serious side effects like serotonin syndrome.

C. While current weight may be important for monitoring side effects such as weight gain, it is not as immediately critical as understanding the client’s medication history, particularly regarding potential drug interactions.

D. A history of heart disease is relevant to the overall health assessment, but sertraline is generally considered safe for most individuals with heart disease. However, the medication history is more crucial because of potential drug interactions.

A. Invite for a walk when the client's energy is high. B. Engage the client in competitive activities. C. Assign the client to a single room. D. Provide television programs with suspense to keep attention engaged. E. Give concise and firm directions for hygiene and dressing.

Correct Answer is ["A","C","E"]

Explanation

A. Inviting for a walk when the client's energy is high can help channel excess energy and reduce restlessness.
B. Engaging the client in competitive activities might escalate the situation and isn't suitable for managing hyperactivity in bipolar disorder.
C. Assigning the client to a single room can reduce external stimuli and potentially decrease overstimulation that might contribute to the behavior.
D. Providing television programs with suspense might not effectively engage the client or address their needs.
E. Giving concise and firm directions for hygiene and dressing can help provide structure and guidance during times of excessive energy or impulsivity.

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A client reports needing to increase opioid dosage to achieve the original level of pain relief.Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Prior to initiating a treatment regimen with the antidepressant sertraline, it is most important for the nurse to obtain which information?

Correct Answer is B

Explanation

The nurse is planning the care for a client who is hospitalized with bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

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