A client with cancer has been taking an opioid analgesic four times daily for chronic pain and reports needing increased doses for pain. Which of the following is a proper response?
The risk of respiratory depression increases over time. Use your incentive spirometer to assist with this normal side effect.
You are addicted and should take a different medication. We can discuss this with your provider.
Over time, people can develop a tolerance to opioids. We can discuss increasing your dose with the provider.
Take your medication more often to help control the pain. You can double the frequency if needed.
The Correct Answer is C
a) Mentioning respiratory depression is not directly addressing the reported need for increased pain relief and might cause unnecessary concern about a side effect.
b) Accusing the client of addiction without further assessment or consideration of medical guidance is not appropriate and may damage the therapeutic relationship.
c) Developing tolerance to opioids is a common phenomenon, and discussing an increase in dosage with the healthcare provider is a reasonable response.
d) Advising the client to take the medication more often without consulting the healthcare provider can lead to unsafe practices and is not recommended.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Gradually reducing the prescribed dose of an antiepileptic like phenytoin without consulting the healthcare provider can lead to increased seizure activity. This is not a recommended self care measure.
B) Expecting green urine is not associated with phenytoin. This statement is not accurate.
C) Phenytoin can cause gingival hyperplasia and other oral health issues. Emphasizing good oral hygiene practices, such as brushing after every meal and flossing daily, is crucial.
D) Instilling mineral oil into both ears is not a self-care measure related to phenytoin.
Correct Answer is B
Explanation
a) Taking sucralfate with an antacid is not recommended, as antacids can interfere with the effectiveness of sucralfate.
b) Sucralfate should be taken 30 to 60 minutes before meals to ensure optimal binding to the gastric mucosa and to form a protective barrier.
c) Taking sucralfate whenever indigestion occurs may not provide consistent protection, as its effectiveness is enhanced when taken before meals.
d) Taking sucralfate immediately after meals is not recommended, as it may interfere with its ability to form a protective coating on the gastric mucosa.
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