A faculty member explains the concepts of addiction, tolerance, ...

[imowrer]

A faculty member explains the concepts of addiction, tolerance, and dependence to students. Which information is accurate? (Select all that apply.)
 
  a. Addiction is a chronic physiologic disease process.
  b. Physical dependence and addiction are the same thing.
  c. Pseudoaddiction can result in withdrawal symptoms.
  d. Tolerance is a normal response to regular opioid use.
  e. Tolerance is said to occur when opioid effects decrease.

Question 2

A client is being discharged from the hospital after surgery on hydrocodone and acetaminophen (Lorcet). What discharge instruction is most important for this client?
 
  a. Call the doctor if the Lorcet does not relieve your pain.
  b. Check any over-the-counter medications for acetaminophen.
  c. Eat more fiber and drink more water to prevent constipation.
  d. Keep your follow-up appointment with the surgeon as scheduled.

[mistyjohnson]

Answer to Question 1

ANS: A, D, E
Addiction, tolerance, and dependence are important concepts. Addiction is a chronic, treatable disease with a neurologic and biologic basis. Tolerance occurs with regular administration of opioid analgesics and is seen when the effect of the analgesic decreases (either therapeutic effect or side effects). Dependence and addiction are not the same; dependence occurs with regular administration of analgesics and can result in withdrawal symptoms when they are discontinued abruptly. Pseudoaddiction is the mistaken diagnosis of addictive disease.

Answer to Question 2

ANS: B
All instructions are appropriate for this client. However, advising the client to check over-the-counter medications for acetaminophen is an important safety measure. Acetaminophen is often found in common over-the-counter medications and should be limited to 3000 mg/day.

[imowrer]

Thanks for the timely response, appreciate it

[Dominic]

Excellent