The nurse and the client have established this goal: "The client will verbalize safety considerations for use of tramadol (Ultram) before being dismissed from the hospital."

Question

Which client statements would support evaluation that this goal has been achieved?
Standard Text: Select all that apply.
1. "I will not drive until I know how I am going to react to the tramadol."
2. "I will limit my alcohol intake to a couple of glasses of wine with dinner."
3. "I will avoid taking my regular dose of kava while I am on this drug."
4. "I will not eat aged cheese while taking tramadol."
5. "I will work with my health care provider to taper off the dose of this medication when it is no longer needed."

Answer 1

Correct Answer: 1,3,5
Rationale 1: Symptoms such as confusion and visual impairment can occur with tramadol use.
Rationale 2: Ethanol combined with tramadol may result in death.
Rationale 3: Caution should be observed when using herbs such as kava that may have an additive CNS depressant effect.
Rationale 4: There is no contraindication to eating aged cheese with tramadol.
Rationale 5: If tramadol is abruptly discontinued, symptoms of opioid withdrawal may occur.
Global Rationale: Symptoms such as confusion and visual impairment can occur with tramadol use. Caution should be observed when using herbs such as kava that may have an additive CNS depressant effect. If tramadol is abruptly discontinued, symptoms of opioid withdrawal may occur. Ethanol combined with tramadol may result in death. There is no contraindication to eating aged cheese with tramadol.