An older adult is taking an oral opioid drug at home for pain control. Which precaution to prevent injury is important for the nurse to teach this patient?

Question

a. "Increase room lighting to reduce the risk for tripping."
b. "Sleep in a sitting position to reduce respiratory problems."
c. "Drink at least 3 liters of fluids daily to reduce constipation."
d. "Avoid drinks containing caffeine to prevent inactivating the drug."

Answer 1

A
In addition to the usual side effects and adverse effect of opioids, an older adult is at risk for low vision. The pupil of the older adult does not dilate fully and less light enters the eye, reducing vision. When the older patient takes an opioid drug, the pupil is even smaller than usual, reducing vision even more. This problem increases the older patient's risk for tripping over objects and falling.