A nurse is caring for a client who consumed alcohol 2 days after taking disulfiram. The nurse should monitor the client for which of the following findings?

Constipation

Dry skin

Hypotension

Urinary retention

Answer and Explanation

The Correct Answer is C

Choice A reason: Constipation isn’t a primary effect of disulfiram-alcohol reaction, which causes acetaldehyde buildup, triggering vasodilation and nausea, not gut motility issues. Scientifically, this reaction targets cardiovascular and systemic responses, lacking evidence for significant gastrointestinal stasis as a monitored outcome in this scenario.

Choice B reason: Dry skin isn’t linked to disulfiram-alcohol interaction, which induces flushing and sweating from acetaldehyde toxicity, not dehydration. Scientifically, the reaction affects vascular and autonomic systems, producing moist, not dry, skin responses, making this an unrelated finding for monitoring here.

Choice C reason: Hypotension occurs in disulfiram-alcohol reaction as acetaldehyde dilates vessels, dropping blood pressure. This cardiovascular effect, alongside tachycardia, is a key sign to monitor, aligning with scientific understanding of the drug’s inhibition of aldehyde dehydrogenase, causing systemic distress.

Choice D reason: Urinary retention isn’t a typical disulfiram-alcohol effect; the reaction focuses on vasodilation, nausea, and hypotension from acetaldehyde. Scientifically, autonomic overstimulation may occur, but bladder dysfunction isn’t a primary outcome, making this less critical to monitor than cardiovascular collapse.

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Correct Answer is A

Explanation

Choice A reason: Shoulder harnesses at shoulder level secure the infant, distributing crash forces evenly. Scientifically, this aligns with safety standards, preventing spinal injury by stabilizing the torso, a critical car seat feature per biomechanical crash studies for optimal protection.

Choice B reason: A cushion under the head risks airway obstruction or spinal misalignment in crashes. Scientifically, added padding alters manufacturer design, increasing injury risk, as car seats are engineered for direct fit without extras per safety regulations.

Choice C reason: A 90-degree angle is upright, risking airway collapse in newborns with weak necks. Scientifically, a 30-45-degree recline supports breathing and spinal alignment, making this unsafe per pediatric and crash safety evidence.

Choice D reason: Airbags in the front seat can fatally injure infants in rear-facing seats via rapid inflation. Scientifically, back-seat placement avoids this, as airbag force exceeds infant tolerance, contradicting safety mandates for car seat positioning.

A. "Swallow the tablet whole to minimize your headaches." B. "You can discontinue the medication until the headache goes away." C. "You should take the medication on an empty stomach to prevent a headache." D. "The headaches should decrease as you get used to the medication."

Correct Answer is D

Explanation

Choice A reason: Swallowing isn’t an option for chewable isosorbide; it’s designed for sublingual absorption. This advice is incorrect and won’t address vasodilatory headache effects.

Choice B reason: Discontinuing isosorbide risks angina exacerbation in cardiac patients. Headaches are tolerable side effects, so stopping isn’t advised without provider input.

Choice C reason: Empty stomach intake doesn’t reduce isosorbide’s vasodilatory headaches. Timing doesn’t alter its nitrate-induced vessel dilation, making this ineffective advice.

Choice D reason: Headaches from isosorbide’s vasodilation typically subside with tolerance over time. This reassures the client, aligning with expected nitrate therapy adaptation.

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A nurse is caring for a client who consumed alcohol 2 days after taking disulfiram. The nurse should monitor the client for which of the following findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with new parents about car seat safety. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

A nurse is caring for a client who reports he has headaches after taking chewable isosorbide dinitrate. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

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