What side effect should a client prescribed codeine sulfate self-assess for according to nurse instructions?

Clients prescribed codeine sulfate need to be particularly vigilant about assessing for constipation as a side effect. Codeine, an opioid analgesic, interacts with the gastrointestinal system by binding to opioid receptors in the gut, which can decrease gastrointestinal motility. This reduced motility can lead to slower transit time of fecal matter, resulting in constipation. Patients taking codeine may not realize the gradual onset of this side effect, making it essential for them to monitor bowel movements and report any significant changes to their healthcare provider.

Other common side effects of codeine include drowsiness, nausea, and dry mouth, which are also important for patients to self-assess. While all these side effects can occur with codeine use, constipation is particularly significant because it can lead to more severe complications if not addressed, such as fecal impaction. Hence, proactive self-assessment for constipation helps ensure appropriate management and intervention before it results in discomfort or other health issues.