University revision · Mental Health and Psychiatric Nursing

Institutionalization and Rehabilitation

Question 1 of 5 Course: Nursing(Degree)

The nurse recognized that Jimmy had conceptualized his problem and the next priority goal in the care plan is:

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Monitoring respiratory rate and depth is most critical with opioid therapy due to risk of respiratory depression, the most dangerous side effect. Opioids depress respiratory center in brainstem. Assessment: rate (<8 breaths/minute concerning), depth, oxygen saturation, sedation level. Use sedation scales (Pasero Opioid-Induced Sedation Scale). Have naloxone available. Other monitoring: pain relief; bowel function (constipation prophylaxis needed); nausea; itching; and addiction risk. Nurses balance adequate pain control with safety. Start low, go slow especially in opioid-naïve, elderly, or those with respiratory conditions. Patient education: side effects; avoiding alcohol/other CNS depressants; safe storage; and proper disposal. Opioid use disorder risk requires assessment. Multimodal analgesia reduces opioid needs. Nurses advocate for appropriate pain management while preventing misuse. Documentation includes pain scores, interventions, and side effects. Responsible prescribing and monitoring reduces overdose risk.

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