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Question ⬇

Physiological Integrity

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35. A client is to receive oxycodone for acute pain. Adverse effects of opioid analgesics include:
Select all that apply.

Choices

Choices ⬆ ⬇

1. Agitation.

2. Constipation.

3. Diarrhea.

4. Vomiting

5. Pruritus

6. Sedation.

Question  Hint

Hints ⬆ ⬇

Test-Taking Tip

When two options are contradictory (e.g., Answers 1 and 6, and Answers 2 and 3), one of them is incorrect.

Content Area: Adult Health, Pain Control; Integrated Process: Nursing Process, Assessment; Cognitive Level/Subneed: Analysis; Client Need: Physiological Integrity/Pharmacological and Parenteral Therapies/Adverse Effects/Contraindications/Interactions

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Rationale ⬆

Physiological Integrity

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2.  4.  5.  6.  

Answer 1 is incorrect because opioids act on the brain to decrease pain—agitation would not be expected. Answer 2 is correct because opioids do affect the GI tract. Constipation will persist even with long-term use of opioids. Answer 3 is incorrect because opioids are constipating. Answer 4 is correct because nausea and vomiting are common, and may subside in a few days. Fluids and an antiemetic may help. Answer 5 is correct because itching does occur. However, it is not considered an "allergy" to the drug. Antihistamines are given. Answer 6 is correct because the drug acts directly on the brain and produces sedation. However, the client will quickly develop tolerance to sedation.

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