The nurse is providing care to a client with alcohol and opioid ...

[michelleunicorn]

The nurse is providing care to a client with alcohol and opioid dependency. A family member states, I don't understand why Naltrexone treatment is prescribed because it causes a high too, right? Which response by the nurse is appropriate?
 
  A) Naltrexone will cause your daughter to become violently ill if she drinks alcohol or abuses drugs.
  B) Naltrexone is less potent than the street drugs your daughter is currently taking and therefore safer.
  C) Naltrexone diminishes the cravings your daughter will feel for alcohol and opioids.
  D) Naltrexone will prevent your daughter from getting drunk when she drinks.

Question 2

A client is admitted to the emergency department after overdosing on phencyclidine piperidine (PCP). Based on this actions, which actions are appropriate by the nurse?
 
  Select all that apply.
  A) Obtain materials to assist with lavage.
  B) Initiate an IV.
  C) Initiate seizure precautions.
  D) Induce vomiting.
  E) Administer ammonium chloride.

[bookworm410]

Answer to Question 1

Answer: C

Naltrexone diminishes the cravings for alcohol and opioids. Disulfiram, not naltrexone, will cause a person to become violently ill when alcohol is consumed.

Answer to Question 2

Answer: B, C, E

The client has taken an overdose of phencyclidine piperidine (PCP), which can produce an adrenaline-like response, or speed reaction. PCP overdose is associated with possible hypertensive crisis, respiratory arrest, hyperthermia, and seizures. The client will require an IV line. The client will need to have seizure precautions such as padded side rails initiated. The client may also be given ammonium chloride to acidify the urine to help excrete the drug. Vomiting is induced for overdoses of alcohol, barbiturates, and benzodiazepines. Lavage would be an inappropriate treatment for inhalation of any substance. Narcan is a narcotic antagonist administered for opiate overdose.