A patient with a history of substance abuse is seen for chronic lower back pain. The patient tells the nurse that the only medication that alleviates his pain is Oxycontin, and once he gets the medication, he will leave the clinic
Which of the following should the nurse do? 1. Acknowledge the patient's dependence on the medication and discuss other pain management approaches.
2. Inform the health care provider that the patient wants Oxycontin and provide with the prescription once it is written.
3. Tell the patient that Oxycontin is an addictive substance and that he will need to find another place to get a prescription.
4. Ask what other substances the patient uses, such as alcohol or marijuana.
Acknowledge the patient's dependence on the medication and discuss other pain management approaches.
Rationale: The patient has a history of substance abuse and is currently asking for an opiate to control chronic lower back pain. The nurse should acknowledge the patient's history of drug dependency and discuss other pain management approaches for the back pain. The nurse should not ask the health care provider for a prescription for Oxycontin and give it to the patient without other interventions. The nurse should not turn the patient away or confront the patient by asking what other substances he uses such as alcohol or marijuana.
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