A nurse is caring for a client who is requesting assistance with smoking cessation. The nurse should anticipate a prescription for which of the following medications?
Disulfiram
Methadone
Bupropion
Naltrexone
The Correct Answer is C
A. Disulfiram: Disulfiram is used in the management of alcohol use disorder by producing unpleasant effects when alcohol is consumed. Disulfiram does not reduce nicotine cravings or withdrawal symptoms associated with smoking cessation.
B. Methadone: Methadone is a long-acting opioid agonist used for opioid use disorder and chronic pain management. Methadone has no role in reducing nicotine dependence or supporting smoking cessation efforts.
C. Bupropion: Bupropion is an antidepressant that also reduces nicotine cravings and withdrawal symptoms. Bupropion is commonly prescribed as part of a smoking cessation program and can be used alone or with nicotine replacement therapy.
D. Naltrexone: Naltrexone is used to reduce cravings in alcohol and opioid use disorders. While it is excellent for blocking the sedative and pleasurable effects of opioids, it does not target the specific pathways associated with nicotine addiction and is not a standard treatment for smoking cessation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This image shows Heberden's and Bouchard's nodes, which are bony enlargements of the finger joints typically associated with Osteoarthritis.
B. This image clearly shows the loss of the normal angle between the nail and the nail bed (Lovibond angle). The fingertips appear enlarged and "drumstick-like," and the nails have a distinct downward, convex curvature.
C. This image displays Ulnar Drift (the fingers slanting toward the pinky side) and joint swelling, which are classic manifestations of Rheumatoid Arthritis. It also shows age-related lentigines (liver spots) on the skin.
Correct Answer is B
Explanation
A. Sleeps 8 to 10 hr per night: Adequate sleep does not increase the risk of injury; in fact, it supports overall health and healing. Sleep patterns are not directly related to bleeding or bruising risk in thrombocytopenia.
B. Uses a firm bristled toothbrush: A firm bristled toothbrush can cause trauma to the gums, leading to bleeding in clients with low platelet counts. Using a soft-bristled toothbrush helps minimize mucosal injury and reduces the risk of hemorrhage.
C. Increased intake of green leafy vegetables: Green leafy vegetables are high in vitamin K, which supports clotting. While dietary vitamin K can influence coagulation, it does not increase injury risk; it may actually help maintain hemostasis.
D. Wears a face mask around others: Wearing a mask reduces the risk of infection, which is important but does not directly affect bleeding or injury risk. Infection prevention is beneficial but not a factor that increases susceptibility to trauma in thrombocytopenia.
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