Author Question: The health care provider has ordered naltrexone (ReVia), a narcotic antagonist, for a client in ... (Read 74 times)

jlmhmf · **on:** Jul 23, 2018

The health care provider has ordered naltrexone (ReVia), a narcotic antagonist, for a client in rehabilitation who is recovering from heroin addiction.

The nurse explains that if heroin is used while taking the naltrexone, the client could experience which effect?
1. Severe nausea and vomiting
2. Lack of euphoria
3. Anger and rage
4. A severe craving for more heroin

Question 2

A client has been receiving haloperidol (Haldol), a dopamine antagonist. When the psychiatrist changes the order to aripiprazole (Abilify), a partial dopamine antagonist, the nurse anticipates the client will experience which effect?

1. A greater reduction in symptoms
2. Fewer side effects
3. Greater adherence in taking the drug
4. Greater efficacy from the new drug

aburgess · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: Severe nausea and vomiting will not occur.
Rationale 2: Euphoria will not occur.
Rationale 3: Anger and rage would not be effects.
Rationale 4: A severe craving for more heroin is not likely to occur.
Global Rationale: Euphoria will not occur. Severe nausea and vomiting will not occur. Anger and rage would not be effects. A severe craving for more heroin is not likely to occur.

Answer to Question 2

Correct Answer: 2
Rationale 1: A reduction in symptoms might occur, but is not certain to occur, with the new medication.
Rationale 2: Partial blocking of dopamine results in fewer side effects than does complete blocking.
Rationale 3: If the client experiences fewer side effects from the drug, adherence might be improved, but that is not guaranteed.
Rationale 4: The client will not necessarily experience greater efficacy; each client responds differently to a drug.
Global Rationale: Partial blocking of dopamine results in fewer side effects than does complete blocking. A reduction in symptoms might occur, but is not certain to occur, with the new medication. If the client experiences fewer side effects from the drug, adherence might be improved, but that is not guaranteed. The client will not necessarily experience greater efficacy; each client responds differently to a drug.