A client with cancer pain is taking morphine for pain relief. Knowing constipation is a common side effect, what would the nurse recommend to the client?
"Administer an enema to yourself every third day."
"Constipation is nothing to worry about; take your medicine."
"Only take morphine when you have the most severe pain."
"Increase fluids and high-fiber foods, and use a mild laxative."
The Correct Answer is D
A. Administering an enema every third day may be too infrequent to effectively manage constipation. Enemas are generally not a first-line solution for constipation prevention in patients on long-term opioid therapy.
B. Constipation is nothing to worry about; take your medicine is incorrect because constipation is a common and preventable side effect of opioid use. It should be addressed proactively.
C. Only taking morphine when experiencing the most severe pain could lead to uncontrolled pain. It is important for cancer pain to be managed consistently, and adjusting the timing of medication is not recommended.
D. Increasing fluids and high-fiber foods, and using a mild laxative is the most appropriate recommendation. It helps prevent constipation, which is a common side effect of opioid use. Mild laxatives can also be helpful, but regular bowel care is essential.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Discontinuing the tube feeding and transitioning to parenteral nutrition is not the first action, as the residual volume may be manageable with additional interventions.
B. A residual volume of 200 mL is above the usual threshold, so the nurse should stop the feeding, wait, and recheck the residual to assess if it improves.
C. While positioning can help gastric emptying, the immediate action should be to stop the feeding and reassess before continuing.
D. Continuing the feeding without rechecking the residual volume would be premature, as the volume is higher than expected, potentially increasing the risk of aspiration.
Correct Answer is ["A","C","D"]
Explanation
A. Support system: Spiritual beliefs often provide a supportive community and network of individuals that can help a person navigate illness and difficult situations. A strong support system can positively influence a person's health and well-being.
B. Knowledge that illness is a punishment: This belief is typically negative and may lead to feelings of guilt or despair, which can have a detrimental effect on health. It does not support overall well-being.
C. Endurance of extreme stress: Spiritual beliefs can provide a sense of purpose and strength that helps individuals cope with stress and adversity, promoting resilience in the face of challenges.
D. Positive emotions: Spirituality can foster hope, gratitude, and a sense of peace, all of which can enhance emotional well-being and improve overall health outcomes.
E. Diet: While some spiritual beliefs may have dietary guidelines, not all spiritual practices directly influence diet in a way that enhances health. It is more common for spirituality to affect emotional and mental well-being.
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