Question

The nurse is caring for a client with severe back pain, and codeine sulfate has been prescribed for the client. Which should the nurse include in the plan of care while the client is taking this medication?

A. Encourage increased fluid intake
B. Monitor for signs of constipation
C. Administer with an empty stomach
D. Allow the client to self-administer the medication

Answer 1

When caring for a client prescribed codeine sulfate for back pain, the nurse should monitor for constipation and encourage fluid intake. Codeine should not be taken on an empty stomach, and self-administration by the client is not recommended due to potential risks.

Step-by-step explanation:

The nurse caring for a client with severe back pain who has been prescribed codeine sulfate should indeed include certain considerations in the plan of care. One important aspect of care would be to monitor for signs of constipation, as opioids like codeine have the tendency to slow down the gastrointestinal tract, leading to this common side effect. Other key considerations include encouraging increased fluid intake to help mitigate the risk of constipation and promote overall hydration, which can also be impaired by opioid use. It is generally not recommended to administer codeine on an empty stomach due to the potential for gastrointestinal distress, so this should be avoided unless specifically directed by a healthcare provider. Finally, allowing the client to self-administer the medication is typically inappropriate due to the risks associated with opioid use, including potential for misuse or abuse, and the necessity for careful dosing and monitoring.