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1. Question
The nurse is caring for a client with chronic back pain. Codeine has been prescribed for the client. Specific to this medication, which intervention should the nurse include in the plan of care while the client is taking this medication?
Correct
Answer: Option 2 is the correct answer.
Rationale: While the client is taking codeine, the nurse would monitor vital signs and assess for hypotension. The nurse also should increase fluid intake, palpate the bladder for urinary retention, auscultate bowel sounds, and monitor the pattern of daily bowel activity and stool consistency because the medication causes constipation. The nurse should monitor respiratory status and initiate deep-breathing and coughing exercises. In addition, the nurse monitors the effectiveness of the pain medication. Test-Taking Strategy: Focus on the subject, a specific nursing consideration related to codeine. Eliminate options 1, 3, and 4 because they are comparable or alike. In addition, relate codeine with constipation.
Incorrect
Answer: Option 2 is the correct answer.
Rationale: While the client is taking codeine, the nurse would monitor vital signs and assess for hypotension. The nurse also should increase fluid intake, palpate the bladder for urinary retention, auscultate bowel sounds, and monitor the pattern of daily bowel activity and stool consistency because the medication causes constipation. The nurse should monitor respiratory status and initiate deep-breathing and coughing exercises. In addition, the nurse monitors the effectiveness of the pain medication. Test-Taking Strategy: Focus on the subject, a specific nursing consideration related to codeine. Eliminate options 1, 3, and 4 because they are comparable or alike. In addition, relate codeine with constipation.
Codeine:
Codeine is 3-methoxymorphine, a phenanthrene opioid with
very low a inity or opioid receptors. Its analgesic activity appears to result
rom conversion to morphine.
Indications:
Opioid analgesics are amongst the most effective
drugs for suppression of cough.
Contraindications:
Use with caution in patients on MAO inhibitors.
Pharmacokinetics:
Taken orally
Low doses (tablets or syrup) are sufficient to
relieve cough