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 C

Explanation

A. While constipation is a side effect, it does not directly cause significant weight loss.

B. Pain may contribute to decreased intake, but it is not the most common or primary cause of rapid weight loss in this context.

C. Both chemotherapy and radiation can cause anorexia (loss of appetite) and taste changes, making food unappealing. These effects often lead to reduced caloric intake and unintentional weight loss.

D. Hair loss affects appearance but does not contribute to weight loss.

A. Connect the patient to a cardiac monitor B. Administer IV fluids as ordered C. Place the patient in a supine position and notify the provider D. Document the findings and continue to monitor

Correct Answer is C

Explanation

A. While monitoring is important, it is not the priority when the patient is symptomatic with hypotension and dizziness.
B. IV fluids may be necessary to treat hypotension, but positioning the patient safely and notifying the provider comes first to prevent falls or further deterioration.
C. The patient is showing signs of orthostatic hypotension and compensatory tachycardia. Placing the patient in a supine position helps restore cerebral perfusion and stabilize blood pressure. Immediate notification of the provider allows for prompt medical intervention.
D. Documentation and monitoring are important, but intervention is needed immediately due to symptomatic hypotension.

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

Nursing Test Bank

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