A patient is receiving morphine for pain control. What will the nurse emphasize about preventing constipation?
Enemas should be given on a weekly basis.
Laxatives should be given on a daily basis.
Adequate hydration consists of four full glasses of water every day.
Stool softeners are taken on a regular basis during opioid use.
The Correct Answer is D
A. Enemas should be given on a weekly basis: Enemas are not a primary method of managing opioid-induced constipation and are used only as a last resort.
B. Laxatives should be given on a daily basis: Daily laxative use may lead to dependence and is not recommended unless absolutely necessary.
C. Adequate hydration consists of four full glasses of water every day: While hydration is essential, four glasses may not be sufficient for some individuals to prevent constipation.
D. Stool softeners are taken on a regular basis during opioid use: This is the standard prevention strategy for opioid-induced constipation, as stool softeners help maintain stool consistency without causing dependency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Administer with a full glass of water.": Psyllium is a bulk-forming laxative that absorbs water in the intestines. Sufficient hydration is essential to prevent obstruction or impaction.
B. "Avoid mixing in juice.": Psyllium can be mixed in any non-carbonated liquid, including juice, making this instruction unnecessary.
C. "Fat-soluble vitamin deficiency is common.": Psyllium does not interfere with fat-soluble vitamin absorption, so this statement is incorrect.
D. "Limit the intake of high-fiber foods.": Psyllium complements a high-fiber diet, so restricting fiber is counterproductive.
Correct Answer is D
Explanation
A. Respiratory distress: Respiratory distress is not a common complication immediately following a liver biopsy.
B. Muscle cramps: Muscle cramps are not directly associated with liver biopsy complications.
C. Headache: Headaches are not typically a complication after a liver biopsy unless they result from other factors like anxiety or pain.
D. Bleeding: Bleeding is the most common and serious complication following a liver biopsy due to the liver's highly vascular nature.
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