Which medication is likely to be prescribed for a client going ...

[Kikoku]

Which medication is likely to be prescribed for a client going through the detoxification period in a hospital or a substance abuse treatment setting?
 
  a. naltrexone (ReVia)
  b. disulfiram (Antabuse)
  c. fluoxetine (Prozac)
  d. lorazepam (Ativan)

Question 2

A nurse is caring for a 36-year-old client who is divorced and who has major depression, severe with psychotic features.
 
  During the admission assessment, the client talks about feeling depressed and hearing voices that tell her to cut her wrists with the plastic knives from the unit's cafeteria. She already has several cuts on her wrists from a recent suicide attempt that occurred before she was brought to the emergency department. She will not complete a contract for safety at this time. Which is the most appropriate nursing intervention under these circumstances?
  A) Obtain an order for locked seclusion until she denies suicidal intent.
  B) Conduct 15-minute checks on her to ensure her safety.
  C) Place her on one-to-one staff observation until she can verbalize and demonstrate that she is no longer an imminent danger to herself.
  D) Remove the plastic wear from the unit's cafeteria and order finger food for all clients.

[alexisweber49]

Answer to Question 1

D
Ativan is likely to be prescribed for a client going through the detoxification period in a hospital or a substance-abuse treatment setting. During detoxification, the alcohol is replaced by a benzodiazepine such as Ativan, in rapidly decreasing degrees.

Answer to Question 2

C

[Kikoku]

Excellent

[patma1981]

TYSM