To assess the amount of pain medication needed by the patient who has bone cancer, but who has also been using heroin, the best approach is to:
1. tell the patient that getting his pain under control will be difficult because he uses heroin.
2. ask the pharmacist to help you compute the amount of pain medication that you think he will need.
3. try to use nonopioid medications so that you do not interfere with his heroin needs.
4. openly question the patient about his daily heroin use.
4
When trying to get a health history on a substance abuse patient, the best method is an open discussion of the drug use. The discussion should be open and nonjudgmental.
PTS: 1 DIF: Cognitive Level: Synthesis REF: 1267
OBJ: 2 TOP: Nursing Assessment of the Substance Abuser
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
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