Hard

A patient receives methadone as maintenance treatment for opioid use disorder. Which assessment is most important before administration?

Correct answer: A. Respiratory rate and level of sedation

  • A. Respiratory rate and level of sedation
  • B. Skin moisture and pupil size only
  • C. Bowel movement frequency and appetite
  • D. Muscle strength and hearing acuity

Explanation

Methadone is a long-acting opioid and may cause excessive sedation and respiratory depression, especially during treatment initiation or dose changes. Respiratory status and consciousness must be assessed before giving it.

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About Substance Use Disorders

Substance use disorders cover problematic use, intoxication, tolerance, dependence, withdrawal, and the effects of alcohol, opioids, sedatives, stimulants, cannabis, and other substances. The topic includes assessment, overdose and withdrawal management, detoxification, motivational interviewing, relapse prevention, and the difference between physical dependence and addiction.

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