When a client is prescribed tramadol for costochondritis, what intervention should the practical nurse include in the care plan?

When a client is prescribed tramadol for costochondritis, what intervention should the practical nurse include in the care plan?

• A. Monitor the client for potential allergic reactions
• B. Implement ongoing assessments for signs of shallow or slow breathing
• C. Provide client education on medication side effects
• D. Advise the client not to take it before meals

Answer: (B)

Monitoring the client for potential respiratory changes, such as shallow or slow breathing, is a critical intervention when tramadol is prescribed. Tramadol is an analgesic that acts on the central nervous system, and one of its potential side effects is respiratory depression, especially at higher doses or when combined with other CNS depressants. By including ongoing assessments for respiratory function in the care plan, the practical nurse ensures that any signs of respiratory impairment are caught early, allowing for prompt action to prevent serious complications. This vigilance is especially important for clients who may have underlying respiratory conditions or are on medications that could exacerbate respiratory depression. In contrast, while monitoring for allergic reactions and providing education on side effects are essential components of comprehensive nursing care, they do not specifically target the most acute risk associated with tramadol use. Advising clients to avoid taking the medication before meals, while a common consideration for certain medications, is not directly relevant to tramadol and does not address the primary safety concern linked to its use.

Monitoring the client for potential respiratory changes, such as shallow or slow breathing, is a critical intervention when tramadol is prescribed. Tramadol is an analgesic that acts on the central nervous system, and one of its potential side effects is respiratory depression, especially at higher doses or when combined with other CNS depressants.

By including ongoing assessments for respiratory function in the care plan, the practical nurse ensures that any signs of respiratory impairment are caught early, allowing for prompt action to prevent serious complications. This vigilance is especially important for clients who may have underlying respiratory conditions or are on medications that could exacerbate respiratory depression.

In contrast, while monitoring for allergic reactions and providing education on side effects are essential components of comprehensive nursing care, they do not specifically target the most acute risk associated with tramadol use. Advising clients to avoid taking the medication before meals, while a common consideration for certain medications, is not directly relevant to tramadol and does not address the primary safety concern linked to its use.