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 D
Explanation
A. Involving another nurse might not necessarily address the client's guarded and suspicious behavior.
B. Documenting the behavior is important for the client's records, but it doesn't address the immediate need for assessment.
C. Postponing the interview might not resolve the client's guarded behavior and could delay necessary assessment.
D. Attempting to ask the client simple questions allows for a non-threatening approach and might gradually build rapport, encouraging the client to engage in conversation.
Correct Answer is C
Explanation
A. Disorganization typically refers to thought process issues, not physical symptoms like numbness and tingling.
B. Preoccupation implies a focus on certain thoughts or concerns, which might contribute but doesn't fully explain the physical symptoms.
C. Somatization involves the manifestation of psychological distress as physical symptoms, such as experiencing physical sensations like numbness and tingling after a traumatic event.
D. Reexperience is more related to PTSD and involves the reliving of traumatic events through flashbacks or intrusive thoughts, not physical symptoms like numbness and tingling.
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