A client is being treated for ethanol alcohol abuse in a rehabilitation center. The nurse will include which information when teaching him about disulfiram therapy?

Mouthwashes and cough medicines that contain alcohol are safe because they are used in small amounts.

This drug will cause the same effects as the alcohol did, without the euphoric effects.

This drug is safe to take with warfarin.

He needs to know about the common over-the-counter substances that contain alcohol.

Answer and Explanation

The Correct Answer is D

Disulfiram blocks the metabolism of alcohol leading to unpleasant effects such as flushing, apprehension, headache, nausea and vomiting
A. Alcohol containing substances will cause the unpleasant effect when consumed
B. Disulfiram prevent metabolism of alcohol and hence has no similar effects to alcohol
C. When taken with warfarin, it increases the risk of bleeding

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Correct Answer is ["B","C"]

Explanation

following the rights of medications administration prevents errors, the rights include right client, right dosage, right drug, right route and right time and frequency. The nurse must always verify the administration order to the prescription before drug administration. Wherever there is doubt, the provider should be consulted to avoid errors.

A- Minimizing telephone and verbal orders is not a proven principle of preventing medication errors

D- Use of trade names increases risk of errors

E-Allergy assessment is not related to medication errors

A. Transfuse the blood product within 5 hr after removing it from refrigeration. B. Check the expiration date of the blood product with a second nurse. C. Prime the blood tubing with dextrose 5% in water. D. Check vital signs before transfusion. E. E. Insert an IV with a 19-gauge needle.

Correct Answer is ["B","D"]

Explanation

A second person is important to check expiry date to avoid transfusion of expired product. Vital signs are also important as a baseline of client’s condition
A. Blood products have different time frames depending on the protocol
C. Priming should be done with normal saline
E. The needle gauge depending on client’s veins caliber

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A client is being treated for ethanol alcohol abuse in a rehabilitation center. The nurse will include which information when teaching him about disulfiram therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse can prevent medication errors by following which principles? (Select all that apply.)

Correct Answer is ["B","C"]

Explanation

A nurse is planning to perform a blood transfusion for a client. Which of the following actions should the nurse plan to take? (Select all that apply.)

Correct Answer is ["B","D"]

Explanation

A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

A client who has had abdominal surgery has been discharged on a cholinergic drug to assist in increasing gastrointestinal peristalsis. The nurse will teach this client to look for which therapeutic effect?

An adrenergic agonist is ordered for a client in cardiogenic shock. The nurse will note that this drug has had its primary intended effect if which expected outcome occurs?

When taking a telephone order for a medication, which action by the nurse is most appropriate?

Methotrexate is ordered for a client with a malignant tumor, and the nurse is providing education about self-care after the chemotherapy is given. Which statements by the nurse are appropriate for the client receiving methotrexate? (Select all that apply.)

The nurse is evaluating the laboratory results of a client who has received chemotherapy. The loss of which blood cell leads to lack of energy, fatigue, intolerance of activity and hypoxemia?

During an assessment, the client tells the nurse that he eats large amounts of garlic for its cardiovascular benefits. Which drug or drug class, if taken, would have a potential interaction with the garlic?

A client has excessive and painful gas. The nurse checks the client's medication orders and prepares to administer which drug for this problem?