The nurse is asked by a client to explain the differences and similarities between methadone and buprenorphine for treatment of opioid use disorder. The nurse's best response is
"Both can be prescribed by your primary care provider."
"Both can cause severe respiratory depression."
"Physical dependence on buprenorphine is high."
"Methadone is not addictive."
The Correct Answer is A
Choice A rationale: Both methadone and buprenorphine can be prescribed for the treatment of opioid use disorder, and their availability is not limited to specialized addiction treatment centers.
Choice B rationale: While both medications can cause respiratory depression, it is not a defining characteristic of their use in opioid use disorder treatment.
Choice C rationale: Physical dependence is a potential concern with both medications, but the statement that physical dependence on buprenorphine is high is not accurate.
Choice D rationale: The statement that "Methadone is not addictive" is not accurate; both methadone and buprenorphine are used to manage opioid addiction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale: NSAIDs, including ketorolac, can affect renal function and may require dose adjustment in patients with impaired renal function.
Choice B rationale: Apical pulse is not typically assessed before administering ketorolac.
Choice C rationale: Serum potassium is not directly affected by ketorolac.
Choice D rationale: Ketorolac is associated with an increased risk of bleeding, so assessing the patient's bleeding risk is important.
Choice E rationale: Ketorolac is contraindicated in pregnant women, especially in the third trimester, due to the risk of premature closure of the ductus arteriosus in the fetus.
Correct Answer is A
Explanation
Choice A rationale: Methylphenidate is a central nervous system stimulant, and excessive caffeine intake can exacerbate its stimulant effects. Consuming an unlimited number of cola soft drinks, which typically contain caffeine, is not advisable. The patient should be educated to moderate caffeine intake to avoid potential interactions and side effects.
Choice B rationale: Methylphenidate can interact with caffeine, so avoiding chocolate, coffee, and tea is a valid recommendation to prevent excessive stimulant effects.
Choice C rationale: Decaffeinated coffee still contains a small amount of caffeine, and patients taking methylphenidate should be aware of this to manage their overall caffeine intake.
Choice D rationale: Taking methylphenidate after breakfast is a common recommendation to minimize appetite suppression and potential weight loss associated with the medication.
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