Question

which client should the nurse identify as being at highest risk for complications during the use of an opioid analgesic?

a. an older client with type 2 diabetes mellitus.

b. a young adult with inflammatory bowel disease.

c. a client with chronic rheumatoid arthritis.

d. a client with a open compound fracture.

Explanation:

Older adults have age-related changes including reduced renal and hepatic function which impairs opioid metabolism and clearance, increasing risk for opioid-induced respiratory depression, sedation, and other adverse effects. Type 2 diabetes also adds additional systemic comorbidities that worsen risk of complications while on opioids compared to the other clients.

Answer:

A. An older client with Type 2 diabetes mellitus.