A nurse is planning to provide teaching to a client who has a new prescription for disulfiram. Which of the following statements should the nurse include in the teaching?
"Mouthwash should be used after each meal."
"Cologne should be used in place of antiperspirant."
"An identification card should be carried while taking this medication."
"Alcohol consumption should be limited to two drinks per day."
The Correct Answer is C
Choice A reason: Mouthwash often contains alcohol, which can trigger a severe disulfiram reaction. Advising its use is unsafe. Clients should avoid alcohol-containing products such as mouthwash, cough syrups, and certain foods.
Choice B reason: Cologne and antiperspirants may contain alcohol, and substituting one for the other does not eliminate risk. This advice is misleading and unsafe.
Choice C reason: Carrying an identification card is correct because it alerts healthcare providers and others that the client is taking disulfiram. This is important in emergencies to prevent accidental alcohol administration and to explain potential reactions.
Choice D reason: Alcohol consumption should not be limited—it must be completely avoided. Even small amounts can cause severe reactions including hypotension, tachycardia, nausea, and potentially life-threatening complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Ocular strabismus (crossed eyes) is not expected at 24 months. By this age, ocular alignment should be normal. Persistent strabismus beyond 6 months of age requires evaluation for possible vision problems.
Choice B reason: Slightly bowed legs are expected in toddlers due to normal physiologic development. This finding is common as children transition from crawling to walking and usually resolves by age 3 to 4 years. It is considered a normal variation at 24 months.
Choice C reason: Toddlers at 24 months should demonstrate an abdominal breathing pattern, not thoracic. Thoracic breathing is more characteristic of older children and adults. Therefore, this finding would not be expected.
Choice D reason: The anterior fontanelle typically closes between 12 and 18 months. At 24 months, it should already be closed. An anterior fontanelle less than 1 cm at this age would be abnormal and suggest delayed closure.
Correct Answer is A
Explanation
Choice A reason: Hallucinations are a common manifestation of delirium, especially when triggered by acute illness such as fever. Delirium is characterized by disturbances in attention, awareness, and cognition, often accompanied by perceptual disturbances like visual or auditory hallucinations.
Choice B reason: Agnosia, the inability to recognize objects or people, is more commonly associated with neurocognitive disorders such as dementia rather than acute delirium. While delirium affects cognition, agnosia is not a typical finding.
Choice C reason: Bradycardia is not a hallmark of delirium. Delirium is primarily a cognitive and perceptual disturbance, not a cardiac rhythm disorder. Bradycardia would suggest another underlying medical issue.
Choice D reason: Aphasia, a language disturbance, is more characteristic of stroke or other focal neurological disorders. Delirium may cause disorganized speech due to confusion, but not true aphasia.
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