A client with cancer pain is taking morphine for pain relief. ...

[anshika]

A client with cancer pain is taking morphine for pain relief. Knowing constipation is a common side effect, what would the nurse recommend to the client?
 
  A) Only take morphine when you have the most severe pain.
  B) Increase fluids and high-fiber foods, and use a mild laxative.
  C) Administer an enema to yourself every third day.
  D) Constipation is nothing to worry about; take your medicine.

Question 2

Which client would benefit from a p.r.n. drug regimen?
 
  A) One who had thoracic surgery 12 hours ago
  B) One who had thoracic surgery four days ago
  C) One who has intractable pain
  D) One who has chronic pain

[Sammyo]

Answer to Question 1

Ans: B
The most common side effects associated with opioids (e.g., morphine) are sedation, nausea, and constipation. If constipation persists, it usually responds to treatment with increased fluids and fiber, and use of a mild laxative.

Answer to Question 2

Ans: B
A p.r.n. drug regimen has not proven effective for people experiencing acute pain, such as in the early postoperative period. It is not adequate for clients with intractable or chronic pain. However, later in the postoperative period, it may be acceptable to relieve occasional pain episodes.

[anshika]

Excellent

[debra928]

Gracias!