A nurse is educating a client about pain management with opioids. Which of the following information should the nurse include?

Diarrhea is a common adverse effect of opioids.

Opioids can increase urinary output.

Long-term use of opioids may cause dependence.

Tolerance to opioids will require a decreased dose.

Answer and Explanation

The Correct Answer is C

A. Diarrhea is a common adverse effect of opioids. This statement is incorrect. Opioids commonly cause constipation, not diarrhea, as they slow down gastrointestinal motility.
B. Opioids can increase urinary output. This statement is incorrect. Opioids can actually cause urinary retention rather than increasing urinary output.
C. Long-term use of opioids may cause dependence. This statement is correct. Long-term use of opioids can lead to physical dependence, where the body adapts to the drug, and withdrawal symptoms occur if the drug is abruptly discontinued.
D. Tolerance to opioids will require a decreased dose. This statement is incorrect. Tolerance to opioids means that over time, higher doses of the drug are needed to achieve the same level of pain relief, not a decreased dose.

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Correct Answer is D

Explanation

A. Increased appetite can be a positive sign but is not a direct indicator of spironolactone’s effectiveness in treating cirrhosis-related complications.
B. Decreased jaundice is a positive sign but is not the primary indicator of spironolactone’s effectiveness. Jaundice is more directly related to liver function.
C. Increased energy can indicate overall improvement but is not specific to the effects of spironolactone.
D. Decreased ascites is a direct indicator that spironolactone is effective. Spironolactone is a diuretic used to reduce fluid accumulation in the abdomen (ascites) associated with liver cirrhosis. A reduction in ascites indicates that the medication is working as intended.

A. A client receives their meal tray 20 minutes late. B. A client experiences a seizure. C. A client receives their insulin 1 hour before scheduled. D. A client vomits after receiving an oral medication.

Correct Answer is C

Explanation

A. A client receives their meal tray 20 minutes late is an inconvenience but does not typically require an incident report unless it results in significant harm or a pattern of delays that affect patient care.
B. A client experiences a seizure is a medical emergency that requires immediate attention and documentation in the client’s medical record, but it does not necessarily require an incident report unless it was caused by an error or unexpected event.
C. A client receives their insulin 1 hour before scheduled is a medication error that requires an incident report. Administering insulin at the wrong time can lead to significant changes in blood glucose levels and potential harm to the client, making it necessary to document the incident and investigate the cause.
D. A client vomits after receiving an oral medication should be documented in the client’s medical record, but it does not typically require an incident report unless it was caused by an error or unexpected event.

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A nurse is educating a client about pain management with opioids. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?

Correct Answer is D

Explanation

A nurse is caring for a group of clients. Which of the following situations requires an incident report?

Correct Answer is C

Explanation

A nurse is caring for a client who is experiencing manifestations of acute cocaine toxicity. Which of the following medication prescriptions should the nurse anticipate administering?

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