Pain Management Nursing Practice Exam

What is an early sign of withdrawal that nurses should be vigilant about for patients under opioid treatment?

1. Diaphoresis

2. Fever

3. Nausea

4. Abdominal cramps

The correct answer is: Diaphoresis

Diaphoresis, or excessive sweating, is an early sign of opioid withdrawal. When a patient who has been using opioids suddenly reduces their dose or stops taking the medication altogether, their body may react physically as it adjusts to the absence of the drug. Diaphoresis is a common autonomic response during this transition as the nervous system becomes hyperactive. It's essential for nurses to monitor for this sign closely, as it can indicate that the patient is beginning to experience withdrawal symptoms, which may require prompt intervention to manage discomfort and prevent further complications. Although nausea, fever, and abdominal cramps are also associated with withdrawal, they typically manifest later in the process or may vary in onset based on the individual patient and their specific circumstances. Monitoring for diaphoresis allows healthcare professionals to address withdrawal symptoms early, showing a proactive approach in pain management and patient care.