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A nurse is caring for a client who is receiving morphine for daily dressing changes. The client tells the nurse, 'I don't want any more morphine because I don't want to get addicted.' Which of the following actions should the nurse take?

a. Encourage the client to continue with the prescribed morphine.

b. Administer a non-opioid analgesic instead.

c. Educate the client on the difference between dependence and addiction.

d. Withhold the pain medication as requested.

User Bronzato
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1 Answer

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Final answer:

The nurse should educate the client on the difference between dependence and addiction to morphine and consider alternative pain management strategies, including non-opioid analgesics, to address the client's concerns about addiction while effectively managing pain.

Step-by-step explanation:

If a client expresses concern about becoming addicted to morphine used for pain control during dressing changes, the nurse should take action to educate the client on the difference between dependence and addiction. This education will inform the client that while physiological dependence may develop with the use of opioids, characterized by withdrawal symptoms upon cessation, it is distinct from addiction, which is marked by compulsive drug seeking and use despite harmful consequences. Additionally, the nurse should consider the client's concerns and explore alternative pain management strategies, including the use of non-opioid analgesics, to respect the client's wishes while still managing pain effectively.

Opioid medications, such as morphine, provide potent pain relief and bind to opioid receptors in the brain, spinal cord, and gastrointestinal tract. Although misuse and addiction are serious risks with opioid medications, they can be used responsibly under medical supervision to manage severe pain. In instances where dependence is a concern, medications like methadone or buprenorphine may be used to alleviate withdrawal symptoms. Understanding the client's fears and providing comprehensive information and support are crucial steps in ensuring both effective pain management and the client's comfort with their treatment plan

User Paul Spaulding
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