A client who has been undergoing treatment for chronic back pain has been considering various over-the-counter nonopioids to manage the pain. The nurse has assessed the client's needs and discussed the use of available methods with the client. Which client statement indicates the need for further instruction?
A)"Nonopioid pain medications can have serious side effects I need to consider and watch for carefully."
B)"I should not take a higher than recommended dose because the beneficial effect isn't likely to be higher with a higher dose."
C)"I may use these medications for as long as I think they are necessary."
D)"I may use both opioid and nonopioid medications together, especially to relieve severe pain."

Question

Quizplus · Accepted Answer

A)Over-the-counter (OTC)nonopioids are associated with severe side effects, especially when taken long term. NSAIDs can produce gastrointestinal (GI)toxicity and prolong bleeding times, and acetaminophen can produce liver and kidney toxicity. Nonopioids have a ceiling effect, so taking a higher dose will not produce a greater analgesic effect. While nonopioids are rarely effective alone for severe pain, they may produce a synergistic effect to relieve pain when combined with an opioid.
B)Over-the-counter (OTC)nonopioids are associated with severe side effects, especially when taken long term. NSAIDs can produce gastrointestinal (GI)toxicity and prolong bleeding times, and acetaminophen can produce liver and kidney toxicity. Nonopioids have a ceiling effect, so taking a higher dose will not produce a greater analgesic effect. While nonopioids are rarely effective alone for severe pain, they may produce a synergistic effect to relieve pain when combined with an opioid.
C)Over-the-counter (OTC)nonopioids are associated with severe side effects, especially when taken long term. NSAIDs can produce gastrointestinal (GI)toxicity and prolong bleeding times, and acetaminophen can produce liver and kidney toxicity. Nonopioids have a ceiling effect, so taking a higher dose will not produce a greater analgesic effect. While nonopioids are rarely effective alone for severe pain, they may produce a synergistic effect to relieve pain when combined with an opioid.
D)Over-the-counter (OTC)nonopioids are associated with severe side effects, especially when taken long term. NSAIDs can produce gastrointestinal (GI)toxicity and prolong bleeding times, and acetaminophen can produce liver and kidney toxicity. Nonopioids have a ceiling effect, so taking a higher dose will not produce a greater analgesic effect. While nonopioids are rarely effective alone for severe pain, they may produce a synergistic effect to relieve pain when combined with an opioid.

A Client Who Has Been Undergoing Treatment for Chronic Back