A nurse is caring for a client who is taking disulfiram for alcohol use disorder and reports ingestion of alcohol.
For which of the following adverse effects should the nurse monitor?
Headache.
Hypertension.
Tinnitus.
Insomnia.
The Correct Answer is C
Choice A rationale:
Headache is a common adverse effect of disulfiram when alcohol is consumed. It is part of the adverse reaction created by the drug to deter individuals from drinking. While headache is a known symptom, tinnitus is a more specific and distinctive adverse effect associated with disulfiram use.
Choice B rationale:
Hypertension is not a common adverse effect of disulfiram. Disulfiram does not directly impact blood pressure. Its primary action is to cause an adverse reaction when alcohol is consumed.
Choice C rationale:
Tinnitus (ringing in the ears) is a known adverse effect of disulfiram when alcohol is ingested. Disulfiram inhibits the breakdown of acetaldehyde, leading to an accumulation of this toxic substance in the body. Tinnitus is one of the symptoms of this toxic reaction and is a significant concern in individuals taking disulfiram for alcohol use disorder.
Choice D rationale:
Insomnia is not a common adverse effect of disulfiram. Disulfiram works by creating an unpleasant reaction when alcohol is consumed, which deters individuals from drinking. This reaction does not typically manifest as insomnia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["History and Physical ","30-year-old client at 33 weeks gestation"," Gravida 4 Para 3 Maternal blood type: Rh+","Last pregnancy resulted in a preterm spontaneous vaginal birth at 30 weeks gestation. ","Client reports lower back pain and pinkish vaginal discharge.","Uterine contractions every 8 minutes"," palpate strong"," duration 30 seconds. FHR baseline 145"," Cervical exam indicates 2 cm"," 50% effaced"," 0 station. ","CBC and urinalysis collected and sent to lab."]
Explanation
History and Physical Day 1,0900:
30-year-old client at 33 weeks gestation, Gravida 4 Para 3 Maternal blood type: Rh+
Last pregnancy resulted in a preterm spontaneous vaginal birth at 30 weeks gestation. Nurses' Notes
Day 1, 0900:
Client reports lower back pain and pinkish vaginal discharge.
Uterine contractions every 8 minutes, palpate strong, duration 30 seconds. FHR baseline 145, minimal variability.
Cervical exam indicates 2 cm, 50% effaced, 0 station. Membranes intact.
CBC and urinalysis collected and sent to lab.
Correct Answer is A
Explanation
A. Correct. Providing oral hygiene care is the first priority after a client has vomited to prevent complications and ensure their comfort.
B. Incorrect. While administering an antiemetic medication might be considered, providing oral hygiene care to the client is the immediate priority.
C. Incorrect. Replacing the NG tube is not typically the first action to take after a client vomits. Addressing oral hygiene and assessing the client's condition comes first.
D. Incorrect. Evaluating the functioning of the suction device is important, but addressing the client's immediate comfort and preventing complications take precedence.
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