Naltrexone (ReVia) is prescribed for a patient with alcohol ...

[Brittanyd9008]

Naltrexone (ReVia) is prescribed for a patient with alcohol dependency. What information should the nurse provide to the patient? Select all that apply.
 
  a. This medication is part of a total program to help you remain abstinent from alcohol.
  b. Do not use alcohol-containing products, such as aftershave lotion and mouthwash.
  c. Avoid foods that contain tyramine, such as aged cheeses and meats.
  d. This medication will help reduce the likelihood of a relapse.
  e. This medication will eliminate your desire for alcohol.

Question 2

A combat veteran diagnosed with moderate traumatic brain injuries is agitated and aggressive. Which pharmacologic intervention would the nurse expect to be effective?
 
  a. Bupropion (Wellbutrin)
  b. Benztropine (Cogentin)
  c. Propranolol (Inderal)
  d. Buspirone (BuSpar)

[jasonq]

Answer to Question 1

A, D
Naltrexone, like any drug for treatment of chemical dependence, is only part of a total treatment program. It will help decrease the pleasure associated with alcohol, but it will not eliminate the desire. It reduces craving, which in turn will help reduce the likelihood of relapses. The distracters relate to disulfiram and monoamine oxidase inhibitors.

Answer to Question 2

C
Beta blockers such as propranolol (Inderal) effectively manage agitation and aggression in persons with TBIs. A dopamine-norepinephrine reuptake inhibitor such as bupropion would increase agitation. Anxiety is not the central problem for this patient. The patient does not have extrapyramidal side effects or Parkinson's disease.

[Brittanyd9008]

Excellent

[chereeb]

TYSM