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 A
Explanation
A. The client: A married 17-year-old is considered emancipated in most states and has the legal authority to provide informed consent for their own medical care, including surgery. The nurse should obtain the client’s signature to confirm understanding and voluntary agreement.
B. The client's provider: The provider performs the procedure and is responsible for explaining the risks, benefits, and alternatives, but does not sign the consent on behalf of the client.
C. The client's partner: A spouse or partner does not have legal authority to consent for an emancipated minor unless specifically granted by law, so the partner’s signature is not required.
D. The client's caregiver: A parent or guardian would normally provide consent for a minor, but an emancipated minor has independent legal authority, making caregiver consent unnecessary in this scenario.
Correct Answer is B
Explanation
A. Gently massage the eyelid to facilitate absorption of the medication: Massaging the eyelid is not recommended because it can spread the infection to surrounding tissues and increase irritation. Medication should remain in the conjunctival sac for absorption.
B. Wipe any excess medication from the inner canthus outward: After applying ophthalmic ointment, wiping from the inner canthus (near the nose) outward prevents contamination of the tear duct and reduces the risk of spreading the infection to the other eye or face.
C. Instruct guardian to apply erythromycin ophthalmic ointment every morning for 14 days: The prescribed medication is bacitracin, not erythromycin. Providing the correct drug and following the prescribed dosing schedule is essential for effective treatment.
D. Place an occlusive dressing on the affected eye to prevent the spread of infection: An occlusive dressing is not indicated for bacterial conjunctivitis. Proper hand hygiene and avoiding contact with the eye are sufficient to prevent transmission.
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