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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. “You should take this medication once each day at bedtime.” This statement is incorrect because rifampin is typically taken on an empty stomach, either 1 hour before or 2 hours after a meal, to ensure optimal absorption. Taking it at bedtime is not a standard recommendation.
B. “You can continue to wear soft contact lenses while taking this medication.” This statement is incorrect because rifampin can cause discoloration of bodily fluids, including tears, which can stain soft contact lenses. Patients are usually advised to avoid wearing soft contact lenses during treatment.
C. “This medication will not interfere with the effectiveness of oral contraceptives.” This statement is incorrect because rifampin is known to reduce the effectiveness of oral contraceptives. Patients should be advised to use an alternative or additional form of contraception while taking rifampin.
D. “Your urine will turn orange while you are taking this medication.” This statement is correct. Rifampin commonly causes a harmless discoloration of urine, sweat, saliva, and tears to an orange or reddish color. Patients should be informed about this side effect to avoid unnecessary concern.
Correct Answer is B
Explanation
A. Propafenone is an antiarrhythmic medication used to treat irregular heartbeats. It is not used to treat vomiting and would not be appropriate for this client.
B. Prochlorperazine is an antiemetic medication commonly used to treat severe nausea and vomiting. It works by blocking dopamine receptors in the brain, which helps reduce the urge to vomit.
C. Metformin is an oral antidiabetic medication used to manage blood glucose levels in people with type 2 diabetes. It is not used to treat vomiting and would not be appropriate for this client.
D. Simvastatin is a lipid-lowering medication used to manage high cholesterol levels. It is not used to treat vomiting and would not be appropriate for this client.
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