A patient who abuses alcohol has been placed on naltrexone ...

[OSWALD]

A patient who abuses alcohol has been placed on naltrexone (Trexan). What information about the effects of this medication will the nurse include in the patient education?
 
  1. The patient needs to avoid use of over-the-counter decongestants.
  2. If alcohol is ingested, the patient may experience a lethal reaction.
  3. The patient needs to avoid use of over-the-counter products that contain alcohol.
  4. The patient will feel less pleasure from using alcohol while taking the medication.

Question 2

The nurse is caring for a patient who presented to the emergency department with acute hallucinogenic intoxication. What manifestations will the nurse expect to see during the assessment of this patient? Select all that apply.
 
  1. Tremors
  2. Sweating
  3. Constricted pupils
  4. Tachycardia
  5. Dilated pupils

[amy.lauersdorf90]

Answer to Question 1

Answer: 4
Explanation: Naltrexone (Trexan) blocks the craving for alcohol and the pleasure derived from drinking. A potentially lethal reaction may occur in patients taking disulfiram (Antabuse), not naltrexone, who ingest alcohol. Because naltrexone does not react with alcohol or with decongestants, it is not necessary to limit the use of over-the-counter products that contain alcohol or decongestants.

Answer to Question 2

Answer: 1, 2, 4, 5
Explanation: The patient who is intoxicated with a hallucinogenic substance may manifest with tremors, sweating, tachycardia, and dilated, not constricted, pupils.