Substance Use Disorder Drugs

Evaluating Client Teaching: Disulfiram The nurse is providing education for a client with a new prescription for disulfiram. Which statement by the client indicates understanding of the education?

"I should not drink alcohol while taking this medication."

Question 3/3 Medication Calculation The infant's Finnegan scores warrant pharmacologic treatment. The infant weighs 8.8 pounds. The healthcare provider prescribes methadone 0.1 mg/kg every 6 hours. Available is methadone 10 mg/mL. How many milliliters should the nurse administer per dose? (If needed, round answer to the nearest one hundredth).

0.04 mL

Medication Calculation: Diazepam The nurse is caring for a client on a medical unit who is experiencing alcohol withdrawal. The client's Clinical Institute Withdrawal Assessment Alcohol Scale Revised (CIWA-AR) score is 16. The healthcare provider prescribes diazepam 10 mg intravenously (IV) immediately. Available is diazepam 5 mg/mL. How many milliliters should the nurse administer? (Round the answer to the nearest whole number if needed.)

2 mL

Medications to Treat Alcohol Use Disorder A nurse is caring for a client in treatment for alcohol use disorder after detoxification. Which medication(s) would the nurse recognize as appropriate for the healthcare provider to prescribe? Select all that apply.

Acamprosate Disulfiram Naltrexone

Nursing Action: Suspected Overdose The nurse is caring for a client who was brought to the emergency department by a family member. The client is unconscious and pale in color; their heart rate is 50 and respiratory rate is 8. The accompanying family member reports the client is in treatment for opioid misuse and is taking naltrexone, but was found with a bottle of hydrocodone. Which action should the nurse prepare to take first?

Administer naloxone

Planning Nursing Actions The nurse is caring for a client who presented to the emergency department with shallow breathing, vomiting, decreased level of consciousness, and hypotension. A friend brought the client to the emergency department and reported that the client was prescribed methadone and this evening consumed alcohol and took diazepam. Drag the interventions the nurse should anticipate implementing to the boxes on the right.​

Administer naloxone Administer activated charcoal Insert a nasogastric tube Administer intravenous fluids Initiate peripheral intravenous access

Case Study: Neonatal Abstinence Syndrome The nurse is caring for a newborn whose mother was treated for opioid addiction during pregnancy. The infant is being monitored for signs of neonatal abstinence syndrome. Question 1/3 Interventions For each nursing action, click to specify if it is appropriate or contraindicated for this newborn.

Appropriate Contraindicated (Feed on a strict schedule.) Appropriate Contraindicated (Offer toys with lights and sounds.) Appropriate Appropriate

Alcohol Use Disorder: Nursing Actions The nurse is caring for a client with alcohol use disorder. The healthcare provider has prescribed acamprosate. For each nursing action, click to specify if the action is appropriate or inappropriate for the nurse to implement.​

Appropriate (Initiate a referral for counseling.) Inappropriate Inappropriate Appropriate (Educate the client that the medication will help reduce cravings for alcohol.)

Findings to Report: Clonidine The nurse is caring for a client who is prescribed clonidine for opioid withdrawal symptoms. For which assessment finding should the nurse hold a dose and notify the healthcare provider?​

Blood pressure 88/58

Medications to Treat Alcohol and Opioid Addiction For each medication, click to specify if it is anticipated to be used to treat alcohol addiction, opioid addiction, or both.

Disulfiram - Alcohol Addiction Acamprosate - Alcohol Addiction Naltrexone - Alcohol and Opioid Addiction

Side Effects: Disulfiram The nurse is caring for a client with alcohol use disorder. The client has gone through withdrawal several times, attended psychotherapy, and has attended Alcoholics Anonymous, but has not been able to stay sober. The client desires to refrain from alcohol use and the healthcare provider prescribes disulfiram. For each side effect, click to specify if it is an expected or unexpected outcome if the client consumes alcohol while taking disulfiram.

Expected Outcome - flushed face Expected outcome- nausea expected outcome - vomiting unexpected outcome- decreased respiratory rate unexpected outcome - increased blood pressure expected outcome - diaphoresis

Medication to Administer The nurse is caring for a client who presents to the emergency department after reportedly consuming twenty 5 mg pills of diazepam. The nurse should prepare to administer________________________.

Flumazenil

Question 2/3 Symptoms to Report The nurse is providing non-pharmacologic interventions. Which symptom(s) should prompt the nurse to request the healthcare provider prescribe methadone? Select all that apply.​

Infant has inadequate oral intake Infant sleeps less than 1 hour at a time Infant has high-pitched cry and is inconsolable for 15 minutes ​​Infant is sweating

Case Study: Alcohol Withdrawal The nurse is caring for a client in the emergency department who presented with severe anxiety, generalized tremors, dizziness, diaphoresis, and agitation. The client has a history of heavy alcohol use and reports that their last drink was two days ago. Question 1 / 2 Medication to Administer The client's Clinical Institute Withdrawal Assessment Alcohol Scale Revised (CIWA-AR) indicates severe withdrawal. Which medication should the nurse anticipate the healthcare provider will prescribe?​

Lorazepam

Question 2 / 2 Medication to Support Abstinence The client is no longer experiencing alcohol withdrawal symptoms and is preparing for discharge. The client reports a desire to abstain from alcohol use. The client admits to abusing opioids in the past and is concerned about the risk of abusing opioids again. The client is scheduled for a follow-up appointment with a counselor and family support. The nurse should anticipate the healthcare provider will prescribe?

Naltrexone

Oxycodone Withdrawal and Abstinence Treatment A nurse is caring for a client being treated for oxycodone withdrawal. Which medication(s) should the nurse recognize as appropriate for the healthcare provider to prescribe for withdrawal and to support abstinence? Select all that apply.

Naltrexone Methadone Clonidine

Identifying Phases of Addiction​ A client began taking an opioid,_____________________, for pain after suffering many injuries in a motor vehicle accident. The client developed ____________ to the drug, which caused them to require larger doses of the medication to control pain. The client exhibited symptoms of _________________ , including anxiety, vomiting, and diaphoresis, when the medication was abruptly stopped. The client's preoccupation with and continued use of the drug, despite negative outcomes, is consistent with opioid __________________.

Oxycodone Tolerance Withdrawal Addiction

Use of Naltrexone The nurse is caring for a client admitted to the hospital for alcohol withdrawal. The treatment plan includes counseling and a prescription for naltrexone. The nurse should anticipate the healthcare provider will prescribe the naltrexone ______________________.

Upon discharge from the hospital.

Use of Disulfiram Disulfiram is used for clients with ____________ addiction who ______________.

alcohol want to stop drinking

Interpreting Clinical Institute Withdrawal Assessment Alcohol Scale Revised Score The nurse is caring for a client who has been prescribed lorazepam, a benzodiazepine, to treat alcohol withdrawal symptoms. The nurse should recognize that a(n) ______________. Clinical Institute Withdrawal Assessment Alcohol Scale Revised (CIWA-AR) score indicates improvement in the client's condition.

decreasing