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 A
Explanation
A. Returning to a previous level of functioning is essential for someone hospitalized due to an overdose as it ensures their safety and stability.
B. Identifying personal traits might be a part of therapy but is not the primary goal immediately after an overdose.
C. While exercise can be beneficial, it's not the primary concern right after a suicide attempt.
D. Discussing relationship needs is important but not the immediate priority after a suicide attempt.
Correct Answer is C
Explanation
A. A five-pound weight gain could be significant but might not require immediate reporting unless it continues to increase rapidly.
B. A depressed affect is concerning but may not warrant immediate reporting unless it signals a severe change in the client's mental state.
C. Nausea and vomiting could indicate lithium toxicity, a serious side effect requiring immediate attention and evaluation by the healthcare provider.
D. Short-term memory loss can be a side effect of lithium but might not pose an immediate threat unless severe or rapidly worsening.
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