NCLEX National Council Licensure Examination(NCLEX-PN) NCLEX-PN Question # 138 Topic 14 Discussion
NCLEX-PN Exam Topic 14 Question 138 Discussion:
Question #: 138
Topic #: 14
A client is taking hydrocodone (Vicodin) for chronic back pain. The client has required an increase in the dose and asks whether this means he is addicted to Vicodin. The nurse should base her reply on the knowledge that:
A.
the client’s body has developed tolerance, requiring more drug to produce the same effect.
B.
the client is preoccupied with getting the drug and is experiencing loss of control, indicating drug dependence.
C.
addiction is the term used to describe physical dependence with withdrawal symptoms and tolerance.
D.
the client has a dual diagnosis of substance abuse and chronic back pain.
Drug tolerance is characterized by the ability to ingest a larger dose without adverse effect and decreased
sensitivity to the substance. Substance dependence is a severe condition indicating physical problems and
disruption of the person’s social, family, and work life. The psychological behaviors related to substance use are
termed addiction. Dual diagnosis is the coexistence of substance abuse and psychiatric disorders.Psychosocial
Integrity
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