An older adult with gastric cancer with bone metastases is being discharged from the hospital after beginning a regimen of opioid analgesics to control the metastatic pain. What should be included in the discharge teaching plan?
a. The development of a plan to prevent constipation
b. Bene-fits of grief counseling
c. In-creasing calories in the diet
d. Pre-venting pressure ulcers
ANS: A
Side effects of opioids are significant to older adults and include constipation. Because constipation is almost universal when opioids are used, the nurse should ensure that an ap-propriate bowel regimen is taken at the same time as the opioids.. The remaining options are not specifically related to the management of the client's pain or the effects of opioid treatment.
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