Exam 50: Substance Abuse

The primary care NP is preparing to prescribe acamprosate for a patient who is an alcoholic.Before initiating treatment with this medication,the NP should:

The primary care NP prescribes disulfiram to a patient who has stopped drinking but continues to have cravings for alcohol.The NP must counsel the patient to:

At an annual well-woman examination,the primary care nurse practitioner (NP)asks a patient about alcohol consumption.The woman reports she usually consumes six glasses of wine per week and occasionally will consume three or four glasses at a party.The NP smells alcohol on the woman's breath.The woman says she is hung over today.The NP should:

A patient is brought to the clinic by a spouse because of increased somnolence and disorientation.The spouse tells the primary care NP that the patient has been taking oxycodone for postoperative pain.The NP notes a respiratory rate of 8 to 10 breaths per minute.The NP should:

A patient who is an alcoholic is seen in the clinic,and the primary care NP admits the patient to the hospital for acute withdrawal.The patient has elevated liver enzymes.The NP should expect the inpatient provider to prescribe:

A mother brings her a college-age son to the primary care NP and asks the NP to talk to him about alcohol use.He reports binge drinking on occasion and drinking only beer on weekends.The NP notes diaphoresis,tachycardia,and an easy startle reflex.The NP should: