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    PN Comprehensive Predictor 2023 Proctored Exam

    A nurse is caring for a client who is requesting assistance with smoking cessation. The nurse should anticipate a prescription for which of the following medications?

    Explanation & Rationale

    A. Disulfiram: Disulfiram is used in the management of alcohol use disorder by producing unpleasant effects when alcohol is consumed. Disulfiram does not reduce nicotine cravings or withdrawal symptoms associated with smoking cessation. B. Methadone: Methadone is a long-acting opioid agonist used for opioid use disorder and chronic pain management. Methadone has no role in reducing nicotine dependence or supporting smoking cessation efforts. C. Bupropion: Bupropion is an antidepressant that also reduces nicotine cravings and withdrawal symptoms. Bupropion is commonly prescribed as part of a smoking cessation program and can be used alone or with nicotine replacement therapy. D. Naltrexone: Naltrexone is used to reduce cravings in alcohol and opioid use disorders. While it is excellent for blocking the sedative and pleasurable effects of opioids, it does not target the specific pathways associated with nicotine addiction and is not a standard treatment for smoking cessation.

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