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 D
Explanation
A. A minor with acute pain is incorrect because while urgent, it does not pose an immediate life-threatening risk and would likely fall into the urgent category.
B. A postmenopausal woman with bruising is incorrect because bruising alone does not indicate an immediate life-threatening condition and would be categorized as non-urgent.
C. A sexually assaulted patient with multiple facial fractures is incorrect because while serious, it is not immediately life-threatening and would likely be categorized as urgent.
D. A rape victim with active hemorrhage in the abdomen is correct because uncontrolled bleeding is life-threatening and requires immediate intervention, placing this patient in the emergent category.
Correct Answer is D
Explanation
A. Elevated ST segment is typically seen with conditions like pericarditis or acute myocardial injury, not hypokalemia.
B. Wide QRS could be related to various conditions, including bundle branch block or electrolyte disturbances, but it is not specifically indicative of hypokalemia.
C. Inverted P wave could be due to atrial arrhythmias but is not a hallmark of hypokalemia.
D. Abnormally prominent U wave is a classic sign of hypokalemia and is often seen following the T wave on an EKG.
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