A heroin-dependant client is undergoing a methadone maintenance program. What interventions should the nurse perform when caring for this client?
A) Administer 200 mg as methadone tablets.
B) Mix the powder with 120 mL of orange juice.
C) Take regular blood samples of the client for analysis.
D) Prevent the client from interacting with others.
B
Feedback:
The nurse should mix the powder in at least 120 mL of orange juice or citrus drink to mask the taste and dosage of the drug. Methadone doses are highly individualized, but an average daily dose is 20 to 120 mg, not 200 mg. The nurse ensures regular supervised urine specimens, not blood samples, are analyzed for the presence of opiates, barbiturates, or other drugs while using methadone. The nurse need not prevent the client from interacting with others; methadone maintenance programs require the client to participate in some form of group therapy to help the person find new ways of problem solving in a drug-free environment.
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