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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
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.
Correct Answer is D
Explanation
A. Auscultating the right upper quadrant of the abdomen while injecting air into the tube is an outdated and unreliable method for confirming tube placement. This technique can lead to false positives and is not recommended.
B. Obtaining radiography of the abdomen is a highly accurate method for confirming nasogastric tube placement but is not always the first-line method due to the need for imaging and exposure to radiation. However, it may be used if other methods are uncertain.
C. Auscultating the left upper quadrant of the abdomen while injecting air into the tube is another outdated and unreliable method, similar to auscultating the right upper quadrant.
D. Checking the pH of fluid aspirated from the tube is the most accurate and recommended method. Gastric fluid typically has a pH of 1.5 to 3.5, whereas respiratory or intestinal fluids have higher pH levels. Checking the pH is a simple and reliable way to confirm the placement of the nasogastric tube.
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