A client with a history of heroin use has begun addiction treatment. The nurse had administered the client's daily dose of methadone. How does methadone therapy affect opioid addiction?

acts to depress the central nervous system (CNS) to a similar degree as opioids, aiding in detoxification C

Acts on the limbic system and the reticular system to suppress brain activity associated with addiction

Acts as an agonist at opioid receptors and prevents withdrawal symptoms d Acts as an antagonist at opioid receptors and prevents withdrawal symptoms

Answer and Explanation

The Correct Answer is C

Methadone is a synthetic opioid medication that is used to treat opioid addiction. Methadone acts as an agonist at opioid receptors in the brain and central nervous system, which helps to prevent withdrawal symptoms and reduce cravings for opioids.

Methadone is a long-acting opioid, which means that it has a slower onset and longer duration of action compared to other opioids like heroin or morphine. This allows methadone to stabilize the client's opioid receptors and prevent withdrawal symptoms for up to 24 hours or more.

Methadone is often used as a part of medication-assisted treatment (MAT) for opioid addiction. MAT combines medication, such as methadone, with counseling and behavioral therapies to provide a comprehensive approach to addiction treatment.

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Correct Answer is C

Explanation

Hydrocortisone is a glucocorticoid hormone that is usually prescribed for the treatment of Addison's disease, which is characterized by insufficient production of adrenal hormones. It is important to take hydrocortisone in the morning before 09:00 because this is when the body's natural cortisol levels are at their highest. Taking hydrocortisone at this time can help to mimic the body's natural cortisol production and prevent adrenal crisis. It should be taken with meals to reduce the risk of stomach upset.

A. An increase in serum lactate B. A decrease in hemoglobin and hematocrit C. An increase in white blood cells D. A decrease in potassium accompanied by an increase in sodium

Correct Answer is A

Explanation

A. An increase in serum lactate – This is a critical laboratory value that can indicate lactic acidosis, a serious side effect associated with metformin, especially in older adults or those with renal impairment. An increase in serum lactate necessitates discontinuation of the medication.

B. A decrease in hemoglobin and hematocrit – While this change may indicate anemia, it is not directly associated with the need to discontinue metformin. Further evaluation of the cause of anemia would be necessary.

C. An increase in white blood cells – This could indicate an infection or inflammatory process but does not specifically necessitate the discontinuation of metformin.

D. A decrease in potassium accompanied by an increase in sodium – While electrolyte imbalances should be monitored, this change does not directly indicate that metformin should be discontinued.

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A client with a history of heroin use has begun addiction treatment. The nurse had administered the client's daily dose of methadone. How does methadone therapy affect opioid addiction?

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Naxlex Comprehensive Predictor Exams

Hydrocortisone has been prescribed to a client for the treatment of Addison's disease What action should the nurse encourage the client to take regarding the selfadministration of this medication?

Correct Answer is C

Explanation

An older adult client has been prescribed metformin for the treatment of type 2 diabetes for several years. Which change in the client's laboratory values may demonstrate a need to discontinue the medication?

Correct Answer is A

Explanation

A client will soon begin long-term treatment with hydrocortisone after being diagnosed with Addison's disease. In order to mitigate the potential adverse effect of this treatment regimen, the nurse should encourage the client to increase the intake of what nutrient?

An 8-month-old infant admitted with a new diagnosis of diabetes is to receive 1 unit of regular insulin. How will that 1 unit be administered?

A female client is preparing to begin treatment for infertility. What hormone would the nurse expect to be included in treatment?

A client with a history of heroin use has begun addiction treatment. The nurse had administered the client's daily dose of methadone. How does methadone therapy affect opioid addiction?

An older adult resident of a long-term care facility has been prescribed calcium citrate to address decreasing bone density. The nurse should review the resident’s medication administration record knowing that what medication may decrease the effects of calcium?

In light of current treatment modalities, the nurse should anticipate that the client newly diagnosed with schizophrenia will most likely be prescribed what drug?

An older adult client has been diagnosed with postmenopausal osteoporosis and has been prescribed calcitonin. The nurse should anticipate administration by what route’