Question

A client has required frequent scheduled and breakthrough doses of opioid analgesics in the 6 days since admission to the hospital. The client's medication regimen may necessitate which intervention?

Option 1: frequent turns and application of skin emollients
Option 2: supplementary oxygen and chest physiotherapy
Option 3: stool softeners and increased fluid intake
Option 4: calorie restriction and dietary supplements

Answer 1

To manage the constipation commonly caused by opioid analgesics, the client's medication regimen may necessitate the use of stool softeners and the increase of fluid intake.

Step-by-step explanation:

The client who has required frequent scheduled and breakthrough doses of opioid analgesics may likely need intervention in the form of stool softeners and increased fluid intake as stated in Option 3. Opioids can cause constipation as a common side effect due to their action on the gastrointestinal system. Therefore, managing this side effect is necessary to prevent discomfort and potential complications such as fecal impaction. It is important to ensure the patient maintains proper hydration and has access to stool softeners, which can alleviate the constipating effects of the opioids.

Prescription opioids like oxycodone, hydrocodone, and morphine are intended for the treatment of moderate to severe pain, and patients are at risk of developing constipation when on these medications. Ensuring a regimen that includes interventions to counteract this side effect is a part of comprehensive patient care. Increased fluid intake helps to keep stools soft, while stool softeners can facilitate easier bowel movements.