While creating a methadone protocol for a patient rehabilitating from heroin addiction, the nurse explains that the patient will take methadone for what length of time?
Weekly for at least 6 months, then decrease the dose to once a month.
Daily until stabilized, then gradually reduce the dose to zero.
Monthly for 6 to 10 months, then decrease the dose to zero.
Daily for the rest of his life.
The Correct Answer is B
A. Weekly for at least 6 months, then decrease the dose to once a month: Methadone is typically administered daily, not weekly, to maintain stable blood levels and manage withdrawal symptoms effectively.
B. Daily until stabilized, then gradually reduce the dose to zero. Methadone is usually given daily to stabilize the patient. Once stabilized, the dose is gradually tapered off to prevent withdrawal symptoms and reduce dependence.
C. Monthly for 6 to 10 months, then decrease the dose to zero. Methadone treatment requires daily dosing for effective management, not monthly.
D. Daily for the rest of his life. While some patients may require long-term maintenance on methadone, the goal is usually to taper off the dose gradually if possible.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Withdrawal problems: These symptoms are consistent with alcohol or drug withdrawal, which can occur in hospitalized patients with a history of substance use.
B. Circulatory problems: While hypertension is a circulatory issue, the sweating and trembling suggest withdrawal rather than primary circulatory problems.
C. Cardiac problems: While important to rule out, the combination of symptoms points more towards withdrawal.
D. Respiratory problems: The primary symptoms here are not indicative of respiratory issues.
Correct Answer is C
Explanation
A. Osteomyelitis: Osteomyelitis is an infection of the bone and does not directly impact the skeletal changes affecting lung function.
B. Osteoporosis: While osteoporosis affects bone density and may cause fractures, it is not specifically linked to changes in lung function related to skeletal changes.
C. Kyphosis: Kyphosis, or excessive curvature of the thoracic spine, can compress the thoracic cavity and reduce lung expansion, which impacts effective air exchange in COPD patients.
D. Arthritis: Arthritis affects joint function but does not have a direct impact on the skeletal changes that alter lung function like kyphosis does.
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