Author Question: A heroin-dependant client is undergoing a methadone maintenance program. What interventions should ... (Read 59 times)

burton19126 · **on:** Jul 17, 2018

A heroin-dependant client is undergoing a methadone maintenance program. What interventions should the nurse perform when caring for this client?

A) Administer 200 mg as methadone tablets.
B) Mix the powder with 120 mL of orange juice.
C) Take regular blood samples of the client for analysis.
D) Prevent the client from interacting with others.

Question 2

The birth attendant has ordered an ultrasound for a pregnant woman to determine the gestational age of the fetus. What other information may be obtained by this test? Select all that apply.

A) Location of the placenta
B) Oxygen supply to fetus
C) Fetal heart rate related to fetal activity
D) Gender of the fetus
E) Fetal neural tube defects
F) Fetal head size

Anna · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

B
Feedback:
The nurse should mix the powder in at least 120 mL of orange juice or citrus drink to mask the taste and dosage of the drug. Methadone doses are highly individualized, but an average daily dose is 20 to 120 mg, not 200 mg. The nurse ensures regular supervised urine specimens, not blood samples, are analyzed for the presence of opiates, barbiturates, or other drugs while using methadone. The nurse need not prevent the client from interacting with others; methadone maintenance programs require the client to participate in some form of group therapy to help the person find new ways of problem solving in a drug-free environment.

Answer to Question 2

A, D, F
Feedback:
An ultrasound scan can determine gestational age, fetal head size, location of the placenta, and some fetal abnormalities. It can identify multiple pregnancies and, in some cases, it can also determine the sex of the fetus. The oxytocin challenge test (OCT) provides information on how well the placenta is supplying oxygen to the fetus. The nonstress test (NST) provides information on the fetal heart rate in response to fetal activity. Maternal serum a-fetoprotein (MSAFP) levels are increasingly used as a screening tool to detect the presence of fetal neural tube defects and open abdominal wall defects early in pregnancy.