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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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Inquiring about the mother's other children might not directly address her current emotional distress and might not be an immediate concern.
B. Asking if the mother has ever thought about harming herself or her child is essential to assess the severity of her depressive thoughts and the risk of harm.
C. Encouraging journaling can be helpful as part of coping, but in this context, addressing immediate concerns about self-harm is more crucial.
D. Reassurance is important, but in this case, providing false hope or assurance about achieving milestones may not be realistic and might not address the mother's current distress.

A. Five-pound (2.3 kg) weight gain. B. Depressed affect. C. Nausea and vomiting D. Short-term memory loss.

Correct Answer is C

Explanation

A. A five-pound weight gain could be significant but might not require immediate reporting unless it continues to increase rapidly.
B. A depressed affect is concerning but may not warrant immediate reporting unless it signals a severe change in the client's mental state.
C. Nausea and vomiting could indicate lithium toxicity, a serious side effect requiring immediate attention and evaluation by the healthcare provider.
D. Short-term memory loss can be a side effect of lithium but might not pose an immediate threat unless severe or rapidly worsening.

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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?

Nursing Test Bank

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