Question: A client addicted to narcotics has a daily appointment to receive methadone hydrochloride. The nurse understands that methadone:
1. Allows symptom-free detoxification of narcotic addiction.
2. Converts narcotic use from an illicit to a legally controlled drug.
3. Provides postoperative pain control without causing narcotic dependence.
4. Counteracts the depressive effects of long-term opiate use on cardiac muscle.
Rationale:Methadone hydrochloride can be legally dispensed. The strength of the drug is controlled and remains constant from dose to dose, which is uncertain with illicit drugs. The drug dose is very gradually tapered to assist the client in decreasing methadone to a minimal dose. Methadone hydrochloride does not allow for symptom-free detoxification from narcotics (1), is not used for the treatment of postoperative pain (3), or to counteract the depressive effects of long-term opiate use on cardiac muscle (4).
Cognitive Level: Analysis
Nursing Process: Implementation
NCLEX Test Plan Category: Psychosocial Integrity
This week’s NCLEX exam practice question came from:
Manno: Mosby' s Review Cards for the NCLEX-RN® Examination, 3rd edition, Section 3, Page 125, Question 50
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