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. Prevention of infection and promote healing. Debridement helps remove dead tissue, which prevents infection and promotes healing.
B. Promoting movement in the affected area: While movement is important, debridement is primarily for removing necrotic tissue to prevent infection.
C. To increase the effectiveness of the skin graft: Debridement does help prepare the wound bed for grafting, but its main purpose is infection control and healing.
D. Promoting suppuration of the wound: Suppuration is not a goal of debridement; it is about cleaning the wound and preventing infection.
Correct Answer is B
Explanation
A. Take her blood pressure twice a day to check for hypertension. Lithium does not typically cause hypertension. Monitoring blood pressure is not a primary concern for patients on lithium.
B. Have her drug blood level checked every month. Regular monitoring of lithium blood levels is crucial to ensure therapeutic levels and avoid toxicity. Lithium has a narrow therapeutic window, and frequent monitoring helps in adjusting the dose to maintain safe and effective levels.
C. Avoid aged cheese and red wine. This advice is relevant for patients taking MAOIs, not lithium. There is no need for patients on lithium to avoid these foods specifically.
D. Examine her skin closely for eruptions. While skin eruptions can be a side effect of some medications, it is not a primary concern for patients on lithium. The focus should be on monitoring for signs of lithium toxicity and other common side effects like tremors, thyroid dysfunction, and renal impairment.
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