The nurse is performing medication teaching for a client after ...

[bcretired]

The nurse is performing medication teaching for a client after surgery. The nurse explains that the client will go home on tramadol, a nonopioid analgesic, for pain management. The client states, I can't take that, I'm allergic to NSAIDs.
 
  How should the nurse respond?
  1. Tramadol is an NSAID that doesn't cause GI bleeds, so you should be OK.
  2. Are you sure? I don't see that allergy listed.
  3. Not all nonopioids are NSAIDs. Tramadol is not an NSAID.
  4. Then you will probably have to stay on a low dose of your opioid analgesic.

Question 2

The nurse plans care for the client receiving nonopioid analgesic drugs based on which benefit these drugs have over opioids?
 
  1. Lower risk of dependency
  2. Few or no GI side effects
  3. Cost-effectiveness
  4. No risk of dizziness or hallucinations

[Harbringer]

Answer to Question 1

Correct Answer: 3
Rationale 1: Tramadol is not an NSAID. Also, not all clients are allergic to NSAIDs because of GI side effects.
Rationale 2: This does not answer the client's question or address the concern correctly.
Rationale 3: Not all nonopioids are NSAIDs. Tramadol is not an NSAID, and the client will be able to take the drug.
Rationale 4: Not all nonopioids are classified as NSAIDs. The client does not need to stay on an opioid.
Global Rationale: Not all nonopioids are NSAIDs. Tramadol is not an NSAID, and the client will be able to take the drug. Tramadol is not an NSAID. Also, not all clients are allergic to NSAIDs because of GI side effects. Asking the client if he/she is sure there is an allergy does not answer the client's question or address the concern correctly. Not all nonopioids are classified as NSAIDs. The client does not need to stay on an opioid.

Answer to Question 2

Correct Answer: 1
Rationale 1: Nonopioid drugs have a lower risk of dependency than do opioid drugs.
Rationale 2: Both opioid and nonopioid drugs have a risk of GI side effects.
Rationale 3: Both opioid and nonopioid drugs have the same cost index.
Rationale 4: Both opioid and nonopioid drugs can cause hallucinations and dizziness.
Global Rationale: Nonopioid drugs have a lower risk of dependency than do opioid drugs. Both opioid and nonopioid drugs have a risk of GI side effects; have the same cost index; and can cause hallucinations and dizziness.

[bcretired]

Thanks for the timely response, appreciate it

[jordangronback]

Great answer, keep it coming