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 D

Explanation

A. Asking the client to describe and identify the source of feelings might escalate the anxiety and might not be immediately helpful in reducing anxiety levels.
B. Providing education about coping with anxiety might be beneficial, but in a moment of severe anxiety, immediate intervention to reduce anxiety is more crucial.
C. Escorting the client from the group might be necessary in some cases, but assisting with relaxation techniques within the group setting can offer immediate support and relief.
D. Assisting the client with relaxation techniques in the group can help reduce anxiety and provide immediate support.

A. Increased talkativeness and pressure to keep talking. B. Illogical response to questions asked. C. Poor concentration and slow thought process. D. Ritual daily breast exams for fear of cancer.

Correct Answer is D

Explanation

A. Increased talkativeness and pressure to keep talking might be seen in conditions like mania or anxiety, not specifically illness anxiety disorder.
B. Illogical responses could be indicative of thought disorders but are not characteristic of illness anxiety disorder.
C. Poor concentration and slow thought processes might suggest cognitive issues but are not specifically linked to illness anxiety disorder.
D. Ritualistic behaviors such as daily breast exams due to fear of cancer are characteristic of illness anxiety disorder (previously known as hypochondriasis).

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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

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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?