A Patient Has Achieved Pain Control with an Oral Opioid

A patient has achieved pain control with an oral opioid and is tolerant of its sedative effects but is having severe constipation.The nurse has contacted the healthcare provider about prescribing a different opioid.What should the nurse anticipate regarding the new drug? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.

A) The new opioid will be administered by the intravenous route.
B) There will be an increased need to observe the patient for sedation.
C) The starting dose of the new medication will be lower than the equianalgesic dose of the original medication.
D) It will be necessary to add an adjuvant medication to achieve equal pain control.
E) The newly prescribed medication will be a pure opioid agonist.