A patient taking oral morphine for advanced cancer pain reports no bowel movement for four days and abdominal discomfort. Which intervention is most appropriate?
Correct answer: B. Assess the bowel pattern and give the prescribed laxative
- A. Stop the opioid abruptly without advice
- B. Assess the bowel pattern and give the prescribed laxative
- C. Restrict fluids to reduce abdominal discomfort
- D. Wait until vomiting develops before reporting it
Explanation
Constipation is a common opioid effect and should be prevented or treated with a prescribed bowel regimen, fluids and appropriate activity when possible. Abruptly stopping an opioid can worsen pain and withdrawal, while waiting may allow impaction or obstruction to develop.
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About Oncology Nursing
Covers cancer biology, tumour staging, common malignancies and nursing care during surgery, chemotherapy, radiotherapy, immunotherapy and palliative treatment. It includes managing nausea, pain, fatigue, mucositis, neutropenia and extravasation, while distinguishing expected treatment effects from dangerous complications requiring urgent action.
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