NCLEX-RN

Category - Pharmacological

A client who is a known alcoholic comes to the emergency room. The nurse notes that the client is highly agitated and diaphoretic. On assessment, the client tells the nurse that he had his last drink 6 hours ago. The nurse anticipates the order of which of the following medications?
  1. Naloxone (Narcan)
  2. Methadone (Dolophine)
  3. Chlordiazepoxide (Librium)
  4. Disulfiram (Antabuse)
Explanation
Answer: C - Alcohol withdrawal symptoms develop between 4 and 6 hours after the last drink. Chlordiazepoxide (Librium) is an antianxiety agent and is used to treat alcohol withdrawal symptoms. Disulfiram is contraindicated if alcohol has been consumed within the last 12 hours. Naloxone is used to reverse narcotic toxicity and methadone is used during narcotic withdrawal.
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