Before starting naltrexone for opioid use disorder, which finding requires the nurse to notify the prescriber?
Correct answer: B. The patient has used heroin earlier today
- A. The patient reports mild constipation
- B. The patient has used heroin earlier today
- C. The patient has occasional difficulty sleeping
- D. The patient reports a remote ankle injury
Explanation
Naltrexone can precipitate severe withdrawal if opioids are still present in the body, and it will block the effects of opioid analgesics. The patient must be opioid-free for an appropriate period before treatment begins.
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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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