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 D
Explanation
A. "I hate all of you!" –This reflects the patient’s anger and hostility, which is expected after being restrained. While it requires therapeutic communication, it does not signal a medical emergency.
B. "The other patient started the fight." – This statement is defensive and attempts to shift blame. Although it provides insight into the patient’s thought process, it is not urgent from a physiological standpoint.
C. "You wait until I tell my lawyer." – This reflects frustration and a threat of legal action. It is important for documentation and de-escalation but does not require immediate clinical intervention.
D. "My fingers are tingly." – This is the highest priority because it indicates impaired circulation or nerve compression related to the restraints. Tingling, numbness, coolness, or pallor are warning signs that restraints are too tight or causing neurovascular compromise. This can lead to permanent injury if not corrected promptly.
Correct Answer is B
Explanation
A. Delirium is usually acute and reversible, especially when caused by an underlying condition like a UTI.
B. Delirium in elderly patients is often secondary to an acute illness such as a urinary tract infection. Treatment of the underlying cause typically resolves the confusion, so this statement provides accurate and reassuring information to the family.
C. While the provider can give a formal prognosis, the nurse can provide evidence-based, general information about delirium recovery.
D. While supportive, this does not address the family’s question about recovery.
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