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 B
Explanation
A. Lie on the right side after meals: This position is not effective in reducing regurgitation. Lying on the left side or maintaining an upright position after eating is generally better for avoiding reflux.
B. Eat only small meals: Smaller meals reduce the risk of overfilling the stomach, which helps minimize regurgitation and pressure on the esophageal stent.
C. Keep the bed flat: Keeping the bed flat increases the risk of regurgitation by allowing stomach contents to flow backward into the esophagus.
D. Drink three glasses of fluid with each meal: Excessive fluid during meals may increase stomach volume and the risk of regurgitation.
Correct Answer is A
Explanation
A. Flush the tube: Flushing the tube before administering a feeding ensures that the tube is patent and free of blockages, which helps prevent aspiration or feeding tube complications.
B. Roll the patient flat: Rolling the patient flat is not necessary for administering a tube feeding, as most feeding tubes are positioned with the head of the bed elevated to reduce the risk of aspiration.
C. Check for a residual formula and return the residual to his or her stomach: While checking for residuals is important for assessing gastric emptying and tolerance to the feeding, it is not the first action before starting the feeding.
D. Place the end of the tube in water and check for bubbles: This action is used to check the placement of the tube (i.e., confirming it is in the stomach or intestine), but it’s not directly related to the initial steps before administering a feeding.
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