The nurse expects which medication to be prescribed to maintain abstinence to a patient with an addiction to either alcohol or opioids?
Methadone (Methadose)
Naltrexone (Vivitrol)
Disulfiram (Antabuse)
Bromocriptine (Parlodel)
The Correct Answer is B
A. Methadone (Methadose) is used as opioid replacement therapy to prevent withdrawal symptoms, not primarily to maintain abstinence.
B. Naltrexone (Vivitrol) is an opioid antagonist that helps maintain abstinence in patients with alcohol or opioid dependence by reducing cravings and blocking the euphoric effects of these substances.
C. Disulfiram (Antabuse) is used specifically for alcohol dependence; it causes unpleasant reactions if alcohol is consumed but does not address opioid addiction.
D. Bromocriptine (Parlodel) is used for Parkinson’s disease and certain endocrine disorders; it is not indicated for maintaining abstinence from alcohol or opioids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Buspirone – This anxiolytic does not typically cause significant anticholinergic effects.
B. Lithium – Common side effects include tremor, polyuria, and mild gastrointestinal upset, not prominent anticholinergic effects.
C. Imipramine, a tricyclic antidepressant, has strong anticholinergic properties, leading to dry mouth, blurred vision, mydriasis, constipation, and urinary retention.
D. Risperidone – An atypical antipsychotic; anticholinergic effects are minimal compared to tricyclic antidepressants.
Correct Answer is C
Explanation
A. Regression is reverting to earlier developmental behaviors (e.g., thumb-sucking under stress). The patient is not showing childlike behaviors.
B. Projection involves attributing one’s own unacceptable feelings to others. The patient is not blaming others for symptoms.
C. Denial is refusing to acknowledge a painful reality. Despite clear symptoms and diagnostic testing, the patient minimizes illness by attributing it to "just a stubborn chest cold."
D. Displacement is redirecting emotions onto a safer target (e.g., yelling at spouse instead of boss). Not evident here.
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