Prolonged use of opioids may lead to tolerance and the need for larger doses. What does the text say about the development of psychological dependence in patients receiving opioids for pain?

Correct answer: Most patients who receive opioid analgesics for pain do not develop psychological dependence.

Explanation

This question addresses a common misconception about opioid use for legitimate pain, clarifying the text's stance on the development of psychological dependence.

Other questions

Question 1

What is the primary therapeutic use for opioid analgesics as described in the General Use section?

Question 2

According to the General Action and Information section, how do opioids alter the perception of pain?

Question 3

In which patient population should smaller initial doses of opioids be used cautiously?

Question 4

Concurrent use of opioids with which class of drugs may precipitate opioid withdrawal in physically dependent patients?

Question 5

When titrating opioid doses, what is the recommended dose increase until a satisfactory response is achieved?

Question 6

What action should be taken if a patient's respiratory rate is 10 per minute or less after opioid administration?

Question 7

What is the specific antidote for opioid overdose mentioned in the text?

Question 8

For an adult patient with opioid-induced respiratory depression, how should the 0.4-mg ampule of naloxone be prepared and administered?

Question 9

According to the Implementation section, why might regularly administered doses of opioids be more effective than PRN (as needed) administration?

Question 10

What patient teaching point is crucial to prevent atelectasis in patients receiving opioids?

Question 11

What potential outcome is a primary desired evaluation for a patient on opioid analgesics?

Question 12

In the event of an opioid overdose in a child weighing less than 40 kg, how should naloxone be prepared?

Question 13

If a patient on opioid analgesics has a respiratory rate of 9/min and is sedated, what percentage dose reduction may be necessary?

Question 14

Which two endogenous opioid peptides are mentioned as being mimicked by opioid analgesics?

Question 15

What is the recommended administration frequency for an IV push of diluted naloxone in an adult overdose?

Question 16

What measure should be instituted to manage constipation if opioid use exceeds 2 to 3 days?

Question 17

With which two specific drugs, in addition to MAO inhibitors, can meperidine cause severe paradoxical reactions?

Question 18

What is the recommended administration frequency of naloxone for a child with an opioid overdose?

Question 19

Why should opioid analgesics be used cautiously in patients with undiagnosed abdominal pain?

Question 20

What is the goal of titrating the naloxone dose when reversing an opioid overdose?

Question 21

Which type of opioid analgesic is not recommended for prolonged use or as first-line therapy for acute or cancer pain?

Question 22

What is the consequence of co-administering nonopioid analgesics with opioids?

Question 23

What is the recommended dose of naloxone to administer every 1 to 2 minutes for a child experiencing an opioid overdose?

Question 24

What should be done after long-term use of opioid analgesics to avoid withdrawal symptoms?

Question 25

What is the single contraindication listed for opioid analgesics?

Question 26

Which nursing implication is crucial before administering an opioid to avoid medication errors?

Question 27

A repeat dose of an opioid can be safely administered at the time of the peak if which two conditions are met?

Question 29

Use of nalbuphine or pentazocine may have what effect on other concurrently administered opioid analgesics?

Question 30

What is the recommended dose of an adult naloxone IV push administered every 2 minutes?

Question 31

What is the general use of Fentanyl as mentioned in the text, besides pain management?

Question 32

A patient's pain rating on a numerical scale should decrease by what percentage to be considered a satisfactory response to an opioid dose?

Question 33

Which patient action is taught to minimize orthostatic hypotension associated with opioid use?

Question 34

What is the final concentration of the prepared naloxone solution for pediatric use?

Question 35

A patient receiving opioid agonist-antagonists who is physically dependent on opioids may experience which withdrawal symptoms?

Question 36

What tool should be used when changing opioid routes or from one opioid to another?

Question 37

Opioids bind to opiate receptors in which part of the body?

Question 38

What is the recommended dilution for a 0.4-mg ampule of naloxone for adult use?

Question 39

Why should a nurse assess a patient's prior analgesic history before administering an opioid agonist-antagonist?

Question 40

Concurrent use of opioids with alcohol, antihistamines, and phenothiazines increases the risk of what adverse effect?

Question 41

What is the recommended frequency for encouraging a patient to turn, cough, and breathe deeply to prevent a specific complication?

Question 42

What is the maximum amount of naloxone to be diluted for pediatric use according to the text?

Question 43

What can be a sufficient intervention to prevent significant hypoventilation in a patient with a respiratory rate of 10/min?

Question 44

The text states that progressively higher doses of opioids may be required to relieve pain with what type of therapy?

Question 45

Which of the following is NOT listed as a potential nursing diagnosis for a patient taking opioid analgesics?

Question 46

In addition to avoiding driving, what other activity should a patient be cautioned about until their response to an opioid is known?

Question 47

According to the text, a patient requiring higher doses of which type of opioid should be converted to an opioid agonist?

Question 48

What effect can initial drowsiness from opioid use have over time?

Question 49

What is the rationale given for explaining the therapeutic value of an opioid before administration?

Question 50

Which of the following is a key precaution when using opioids?