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 D
Explanation
A. Mexiletine: Mexiletine is a class 1B antiarrhythmic used to treat ventricular arrhythmias, not gastric ulcers.
B. Desmopressin: Desmopressin is a synthetic vasopressin analogue used for conditions like diabetes insipidus, bleeding disorders, and nocturnal enuresis. It is not used to treat Helicobacter pylori infections.
C. Filgrastim: Filgrastim is used to stimulate white blood cell production and is not used in the treatment of H. pylori infections or gastric ulcers.
D. Clarithromycin: Clarithromycin is a commonly prescribed antibiotic as part of a combination therapy to treat H. pylori infections, which are a common cause of gastric ulcers.
Correct Answer is D
Explanation
A. Poor appetite and therefore poor protein intake: While poor appetite can occur in hepatitis, it is not directly related to pruritus.
B. Altered urinary output of bile: Hepatitis affects liver function, but pruritus is not caused by changes in urinary output of bile.
C. Decreased fat intake: Decreased fat intake does not directly lead to pruritus in hepatitis.
D. Accumulation of bile salts under the skin: In hepatitis, liver dysfunction impairs the excretion of bile salts, leading to their accumulation in the skin, which causes pruritus (itching).
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