The nurse is caring for a patient in the postoperative period following an abdominal hysterectomy

The patient states, "I don't want to use my pain meds because they'll make me dependent and I won't get better as fast." Which response is most important when explaining the use of pain medication?
A) "You will need the pain medication for at least 1 week to help in your recovery. What do you mean you feel you won't get better faster?"
B) "Pain medication will help to decrease your pain and increase your ability to breath. Dependency is a risk with pain medication, but you are young and won't have any problems."
C) "Pain medication can be given by mouth to prevent the risk of dependency that you are worried about. The pain medication has not been shown to affect your risk of a slowed recovery."
D) "You will move more easily and heal more quickly with decreased pain. Dependence only occurs when it is administered for an extended period of time."


Ans: D
Feedback:
Postoperatively, medications are administered to relieve pain and maintain comfort without increasing the risk of inadequate air exchange. In the responses by the nurse, (response D) addresses the patient's concerns about drug dependency and the nurse's need to increase the patient's ability to move and recover from surgery. The other responses offer incorrect information, such as increasing the patient's ability to breathe or specifying the time needed to take the medication. Opioids will cause respiratory depression.

Nursing

You might also like to view...

A nursing instructor is explaining the etiology of trauma-related disorders from a learning theory perspective. Which student statement indicates that learning has occurred?

1. "How clients perceive events and view the world affect their response to trauma." 2. "The psychic numbing in PTSD is a result of negative reinforcement." 3. "The individual becomes addicted to the trauma owing to an endogenous opioid response." 4. "Believing that the world is meaningful and controllable can protect an individual from PTSD."

Nursing

"Stand up straight, mom," a young woman said to an older woman in the grocery store checkout line. Which of the following would be the most appropriate action by the nurse who is standing next to them in line?

a. Do nothing; the nurse is not expected to act as a nurse when not at work. b. Say to the older woman, "You need to start treating that osteoporosis." c. Say, "Older women who don't get much calcium, vitamin D, or exercise can often have trouble standing up straight. Keep reminding yourselves." d. Say, "You both may have some problems. Have you both ever been checked for osteoporosis?"

Nursing

In a legal case, a participant is protected if a Certificate of Confidentiality was issued by which of the following?

A) The National Institutes of Health to prevent forced disclosure B) The Internal Review Board of the institution to protect the participant C) The principle researcher to avoid a breach of confidentiality D) The court to protect a member of a vulnerable group

Nursing

Increases in which neurotransmitter contribute to restrictive eating?

A) Serotonin B) Dopamine C) Norepinephrine D) Tryptophan

Nursing