A nurse is teaching an older adult about some of the risks associated with using opioid analgesics. Which of the following statements best demonstrates the individual has gained a sound knowledge base?
A) "I know that if I become dependent on the drug, my doctor and I will come up with a plan to discontinue it."
B) "I'll need to be careful that I don't become addicted to the drug over time."
C) "If I do develop a tolerance to the drug, I can expect some withdrawal symptoms."
D) "It sounds like I might have my dosages increased over time because of tolerance."
Ans: D
Tolerance denotes a decreased response to a drug over time, a fact that may necessitate an increase in drug dosage. Dependence on a drug's effects is not an indication that the drug necessarily needs to be discontinued, but rather that the drug is needed for living and that withdrawal symptoms would accompany cessation. Addiction is not a common result of opioid use, and clients should be made aware of that fact. Withdrawal symptoms are associated with dependence, not drug tolerance.
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