An older adult with pain is to be discharged home with a prescription for oral morphine (MSContin) daily for persistent pain. The client historically took an over-the-counter nonsteroidal anti-inflammatory drug (NSAID) for pain
Which statement by the patient shows the nurse that the client understands the plan?
A) "I will be careful to take an antacid with the morphine pill."
B) "I will only take this morphine when the NSAID doesn't work."
C) "I will take MiraLAX and a stool softener to reduce my constipation."
D) "NSAID side effects are not as bad as a morphine pill."
Ans: C
Long-term use of NSAIDs is associated with more severe and life-threatening adverse effects, whereas the most common adverse effect of opioids is constipation, which can be addressed by using laxatives (MiraLAX), stool softeners, fluid, and activity. While the client historically took an NSAID, the MSContin is an extended-release medication that should be taken daily.
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