A patient who has undergone treatment for alcoholism several times, with relapse occurring shortly after each treatment, has just completed detoxification. The patient requests a medication to help maintain abstinence
Which drug will the nurse expect the provider to prescribe?
a. Acamprosate (Campral)
b. Chlordiazepoxide (Librium)
c. Disulfiram (Antabuse)
d. Naltrexone (ReVia)
ANS: D
Naltrexone helps reduce the craving for alcohol and blocks its reinforcing effects. It has been shown to be more effective than acamprosate, which acts by reducing the unpleasant feelings associated with abstinence. Chlordiazepoxide is used for detoxification to minimize acute effects associated with withdrawal. Disulfiram causes severe, uncomfortable, and sometimes life-threatening symptoms when alcohol is consumed and is not widely used.
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A checkout clerk at a grocery store develops numbness, pain, and impaired mobility of the fingers of the dominant left hand. The nurse should suspect the client has developed which of these conditions?
a. carpal tunnel syndrome c. osteoarthritis b. bursitis d. osteoporosis
Why is treatment fidelity such a major concern in intervention research?
a. If treatment fidelity is not maintained, it has a direct influence on statistical conclusion validity and power analysis, especially when samples are large. b. The project team may differ about how an intervention is applied, and these varying ways of application must be discussed before marketing can occur. c. Intervention research can take place over many months. It is important for internal validity that the intervention be applied in the same way every time. d. Interventions, especially those involving products that are centered in the health care realm, must reflect the ethical standards of the profession.
When assessing the older adult for bowel health, the nurse is most effective in obtaining subjective data when asking
a. "Would you describe your bowel move-ments as usually normal?" b. "Do you have a problem with constipa-tion?" c. "How often do you usually have a bowel movement?" d. "Have your bowel movements changed recently?"
A nurse is explaining to a group of nursing students in a clinic about the interventions to
be taken while caring for clients with herniation. Which is a common site for herniation in men that the students should be aware of? A) Inguinal canal B) Prostate gland C) Cowper's glands D) Scrotum