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 D
Explanation
A. Decreased hemoglobin level: A reduction in hemoglobin is not an expected effect of furosemide and may indicate anemia or another unrelated condition. It does not reflect the diuretic’s effectiveness in managing fluid overload.
B. Increased weight of 0.91 kg (2 lb): An increase in weight suggests fluid retention rather than loss. Effective furosemide therapy should result in stable or decreased weight as excess fluid is excreted. Monitoring weight helps assess fluid balance in heart failure patients.
C. Decreased BUN level: Changes in BUN are influenced by multiple factors including renal function, hydration, and protein intake. A decrease is not a reliable indicator of furosemide effectiveness in reducing fluid volume.
D. Increased urinary output: Furosemide is a loop diuretic that promotes excretion of sodium and water. An increase in urinary output indicates that the medication is effectively removing excess fluid, reducing edema, and alleviating symptoms of heart failure.
Correct Answer is C
Explanation
A. "Soak in a bathtub of hot water each night.": While warm baths can be relaxing, hot water should be avoided during pregnancy due to the risk of maternal hyperthermia, which can harm the fetus. Safety precautions must be emphasized.
B. "Use a transcutaneous electrical nerve stimulator": TENS units are generally used for pain management, not for improving sleep, and their safety during pregnancy for sleep promotion is not well established.
C. "Lie on your left side with your top leg forward.": Side-lying, particularly on the left side, improves maternal comfort, reduces pressure on the vena cava, and can promote better sleep during pregnancy. Using a pillow between the legs can enhance support and relaxation.
D. "Obtain a prescription for pramipexole": Pramipexole is a dopamine agonist used for restless leg syndrome or Parkinson’s disease, but it is not routinely prescribed for sleep disturbances in pregnancy due to potential fetal risks.
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