The patient on frequent doses of oxycodone (Roxicodone) complains of constipation. Which initial intervention is best?

Offer fruit such as prunes or apricots.

Increase oral fluid intake.

Request an order for an enema.

Report the condition to the charge nurse.

Answer and Explanation

The Correct Answer is A

A. Prunes and apricots are natural laxatives rich in fiber and sorbitol, which help stimulate bowel movements. This is a safe, non-invasive first-line intervention for opioid-induced constipation.

B. While increasing fluids is helpful for constipation, it is often not sufficient alone when opioids cause decreased gut motility.

C. Enemas are more invasive and should be reserved for when conservative measures (dietary changes, fluids, stool softeners) fail.

D. While reporting is important if constipation worsens or is severe, initial interventions can be implemented by the nurse first.

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Correct Answer is D

Explanation

A. The PCA pump allows the patient to self-administer medication within safe limits set by the provider.
B. If the PCA is not effectively managing pain, the nurse needs to be informed to reassess and adjust the plan.
C. The patient can press the button to receive a controlled dose of analgesic.
D. This statement indicates the client does not understand the purpose of a PCA pump, which is designed to eliminate the need to call a nurse for each dose. This response signals the need for further teaching.

A. Alert the surgery center about the latex allergy. B. Notify the dietitian about the food allergies. C. Ask whether the patient uses antihistamines to reduce allergic reactions, D. Reassure the patient that all allergies are noted on the medical record.

Correct Answer is A

Explanation

A. Clients with allergies to bananas, kiwifruit, avocados, and chestnuts are at higher risk for latex allergies due to cross-reactivity. Latex is commonly used in surgical gloves and equipment. Immediate notification of the surgery center allows them to use latex-free supplies and equipment, which is critical for preventing a life-threatening anaphylactic reaction.

B. While food allergies are important, they are not the priority in this surgical context. Preventing exposure to latex during surgery is more urgent and potentially life-saving.

C. This is not the priority action. While antihistamines may help manage minor allergies, latex exposure can cause anaphylaxis, which antihistamines cannot prevent.

D. Reassurance is important, but the critical action is to ensure the surgical team is aware and prepared, not just documentation.

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The patient on frequent doses of oxycodone (Roxicodone) complains of constipation. Which initial intervention is best?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which client statement indicates to the nurse the need for further education regarding the use of a patient-controlled analgesia (PCA) pump? Select one:

Correct Answer is D

Explanation

A client who is scheduled for surgery in a week tells the nurse doing the preoperative assessment about an allergy to bananas, kiwifruit, and latex products. Which action is most important for the nurse to take? Select one:

Correct Answer is A

Explanation

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