SOLVED2609

A 22-year-old woman with no significant medical history is admitted to the hospital for suspected endocarditis. She admits to frequent cannabis and alcohol use but denies other substances. A urinary beta-HCG test is positive, and the patient says she is surprised to learn that she is pregnant. She complains of nausea and vomiting and is restless, fidgety, visibly diaphoretic, and has generalized pain to the point that the interview is limited. She then admits to the nurse that she injects heroin daily. What is the most appropriate initial treatment for this patient? A. Medically supervised opioid withdrawal and clonidine as needed B. Opioid agonist therapy with methadone or buprenorphine C. Opioid antagonist therapy with oral naltrexone D. Diazepam with gradual dose reduction
SCIENCE
HEALTH SCIENCE
NURSING

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