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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. "No. The color will fade gradually as liver inflammation decreases.": This response provides accurate information and reassurance, addressing the patient's concerns about her appearance while being supportive.

B. "Yes, but cosmetics can disguise the color.": This dismisses the patient’s concerns and is not empathetic or accurate, as jaundice usually resolves when liver function improves.

C. "Yes, but your sclera will return to their previous white color.": While the sclera may clear up, this does not address the entire issue of jaundice affecting skin color.

D. "No. The color will change to freckles.": This is misleading and untrue, potentially worsening the patient's anxiety.

A. Bisacodyl B. Mineral oil C. Methylnaltrexone D. Docusate

Correct Answer is C

Explanation

A. Bisacodyl: A stimulant laxative that promotes bowel movements but may not be effective in refractory opioid-induced constipation.

B. Mineral oil: A lubricant that softens stools but does not address the opioid-specific cause of constipation.

C. Methylnaltrexone: A peripherally acting opioid antagonist that specifically targets opioid-induced constipation without affecting pain relief, making it the best option for refractory cases.

D. Docusate: A stool softener that is typically ineffective alone for severe opioid-induced constipation.

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A patient is receiving morphine for pain control. What will the nurse emphasize about preventing constipation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A young woman with severe jaundice has an altered body image. The patient says, "Will I always be this horrible color?" What is the best response by the nurse?

Correct Answer is A

Explanation

The nurse is caring for a patient receiving palliative care with opioid-induced constipation. Laxative therapy has been unsuccessful in treating this patient. Which PRN medication should the nurse provide to best alleviate this type of constipation?

Correct Answer is C

Explanation

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