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 in-cluded in the discharge teaching plan?
a. The development of a plan to prevent constipation
b. Benefits of grief counseling
c. Increasing calories in the diet
d. Preventing pressure ulcers
ANS: A
Side effects of opioids are significant to older adults and include constipation. Because constipa-tion is almost universal when opioids are used, the nurse should ensure that an appropriate bowel regimen is taken at the same time as the opioids. The remaining options are not specifically relat-ed to the management of the client's pain or the effects of opioid treatment.
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