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 C
Explanation
A. Overlooking the patient's need to talk is incorrect because ignoring their emotional distress may increase feelings of isolation and hopelessness.
B. Discontinuing psychotropic medications is incorrect as these medications may be essential in stabilizing mood and preventing further self-harm.
C. Validating the patient's worth and self-esteem is correct as it helps promote a sense of value, belonging, and hope, which are crucial in suicide prevention and recovery.
D. Limiting interaction with the patient is incorrect because social isolation can worsen depression and increase the risk of further self-harm.
Correct Answer is ["21.6"]
Explanation
Convert pounds to kilograms:
- 198 lbs / 2.2 lbs/kg = 90 kg
Calculate the medication dose in mcg/min:
- 90 kg 4 mcg/kg/min = 360 mcg/min
Convert mcg/min to mg/hr:
- 360 mcg/min 60 min/hr = 21600 mcg/hr
- 21600 mcg/hr / 1000 mcg/mg = 21.6 mg/hr
Determine the medication concentration:
- 250 mg / 250 mL = 1 mg/mL
Calculate the infusion rate in mL/hr:
- 21.6 mg/hr / 1 mg/mL = 21.6 mL/hr
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