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Which of the following teaching instructions should be included for the patient with newly prescribed opioid analgesic for pain? (SELECT ALL THAT APPLY).

"Avoid foods high in fiber."

"Be sure to plenty of fluids in your diet."

Take your prescribed stool softener with your morning medications."

"Limit activity because you will be dizzy from the medication"

"Take the opioid with a full 8 ounce glass of water and be sure to sit upright for at least 30 minutes after."

Answer and Explanation

Correct Answer : B,C,E

A. A diet high in fiber is important to prevent constipation, a common side effect of opioid use.

B. Adequate fluid intake helps to prevent dehydration and constipation.

C. Taking a stool softener daily can help mitigate the constipating effects of opioids.

D. While dizziness can occur, clients should be encouraged to maintain an appropriate level of activity with precautions.

E. Taking the opioid with a full glass of water and sitting upright can help prevent esophageal irritation and ensure proper swallowing of the medication.

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Correct Answer is B

Explanation

A. Suggesting remedies prematurely without fully understanding the client’s concerns might not address their specific needs.

B. The best response is to encourage open communication by acknowledging the client’s concerns and fostering a discussion. This approach helps the nurse understand the client’s worries and provide tailored information about rheumatoid arthritis and its potential impact on daily life.

C. The progression of rheumatoid arthritis is variable and can affect activities of daily living more noticeably over time; it’s not always subtle.

D. While predicting disease outcomes can be difficult, giving a more open response like option B will foster better communication and support.

A. use a protective back support. B. wear properly fitting shoes. C. stay in good physical shape. D. use mechanical lifting devices.

Correct Answer is D

Explanation

A. Protective back supports can be helpful but do not replace the need for proper body mechanics and lifting devices.

B. Proper footwear is important for overall safety but does not directly prevent back injuries related to lifting.

C. Staying in good physical shape helps with overall body strength and endurance but does not eliminate the risk of injury when lifting clients.

D. Mechanical lifting devices are the most effective way to prevent injury while moving or lifting patients, as they reduce the risk of strain on the spine.

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Which of the following teaching instructions should be included for the patient with newly prescribed opioid analgesic for pain? (SELECT ALL THAT APPLY).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client has been diagnosed with rheumatoid arthritis and asks, "What impact will this have on my activities of daily living in the years to come?" What is the best response by the nurse?

Correct Answer is B

Explanation

The most effective way for a nurse to avoid a lumbosacral spine injury while caring for clients is to:

Correct Answer is D

Explanation

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