A client who is an alcoholic receives a prescription for disulfiram 500 mg by mouth (PO) daily. Which instruction should the nurse provide to this client?
Take the medication with at least 8 ounces (240 mL) of water and limit alcohol consumption while taking this medication.
Begin taking the medication immediately and take it daily, regardless of whether or not you drink alcohol.
Take the medication at bedtime and avoid consuming any more than one ounce of alcohol daily.
Take the medication each morning beginning 48 hours after your last drink of alcohol.
The Correct Answer is D
A. Take the medication with at least 8 ounces (240 mL) of water and limit alcohol consumption while taking this medication is incorrect. Alcohol must be completely avoided while taking disulfiram, as even small amounts can cause a severe reaction (e.g., nausea, vomiting, headache, flushing, hypotension).
B. Begin taking the medication immediately and take it daily, regardless of whether or not you drink alcohol is incorrect. Disulfiram should not be started until at least 12–48 hours after the last drink to prevent an acute reaction.
C. Take the medication at bedtime and avoid consuming any more than one ounce of alcohol daily is incorrect. Alcohol must be strictly avoided in any amount.
D. Take the medication each morning beginning 48 hours after your last drink of alcohol is correct. Disulfiram should be initiated at least 12–48 hours after the last alcohol consumption to prevent adverse reactions. The medication is usually taken in the morning to promote adherence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This comment is crucial as it involves access to lethal means, which is a significant risk factor for suicidal behavior.
B. While feelings of emptiness are concerning, it might not immediately indicate imminent danger.
C. Panic attacks might signify anxiety, but this statement doesn't directly suggest an immediate risk of harm.
D. While the daughter being a reason to keep trying is positive, it doesn't address the immediate risk of access to firearms.
Correct Answer is D
Explanation
A. Haloperidol might be used in some detoxification scenarios but isn't directly indicated based on the information provided.
B. Folic acid is not an immediate medication administered during alcohol detoxification.
C. Trazodone is used for other purposes and is not an immediate medication in alcohol detoxification.
D. Vitamin B1 (thiamine) supplementation is crucial during alcohol detoxification to prevent Wernicke-Korsakoff syndrome or other neurological complications associated with
alcohol withdrawal.
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