A nurse is providing medication teaching about disulfiram for a client who has alcohol use disorder. Which of the following statements by the client indicates an understanding of the teaching?

I will need to get a monthly injection of this medication.

My provider wants me to take this medication for 2 weeks before I try to quit drinking.

I should avoid over-the-counter medications that contain alcohol.

I need to continue this medication for at least 5 years.

Answer and Explanation

The Correct Answer is C

Choice A reason: Disulfiram is an oral medication, not injectable, used to deter alcohol consumption by causing adverse reactions. Monthly injections apply to drugs like naltrexone, not disulfiram, which requires daily oral dosing to maintain its deterrent effect in alcohol use disorder treatment.
Choice B reason: Taking disulfiram before quitting alcohol is incorrect, as it is started post-abstinence to prevent relapse. Disulfiram inhibits aldehyde dehydrogenase, causing acetaldehyde buildup if alcohol is consumed, making it effective only in alcohol-free clients to deter drinking.
Choice C reason: Avoiding over-the-counter medications with alcohol is correct, as disulfiram causes severe reactions (nausea, flushing) with alcohol ingestion, including from medications like cough syrups. This reflects understanding of disulfiram’s mechanism, ensuring safety by preventing unintended alcohol exposure.
Choice D reason: Continuing disulfiram for 5 years is not standard, as duration varies per treatment plan. Disulfiram supports early abstinence, not fixed long-term use. This statement misrepresents its role, as therapy length depends on individual recovery needs, not a predetermined timeframe.

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Correct Answer is B

Explanation

Choice A reason: Assigning a health care surrogate does not always require legal consultation, as forms are often available without attorney involvement. While legal advice can clarify complex cases, it is not mandatory, making this statement misleading and incorrect for general advance directive education.
Choice B reason: A health care surrogate makes decisions when the client is incapacitated, as specified in advance directives. This ensures the client’s wishes are followed, aligning with the purpose of surrogacy in healthcare planning, making it accurate and essential information for the teaching session.
Choice C reason: Advance directives can be changed at any time by a competent client, provided the changes are documented and communicated. Stating they cannot be changed is incorrect, as flexibility is a key feature, making this misinformation inappropriate for teaching.
Choice D reason: Advance directives are generally honored across states, though specific requirements may vary. Stating they are only valid in one state is overly restrictive and incorrect, as reciprocity is common, making this an inaccurate point for advance directive education.

A. Reassure the client that she can have additional children. B. Discourage the client from allowing friends to see the newborn. C. Offer to take pictures of the newborn for the client. D. Advise the client to avoid discussing the stillbirth with family.

Correct Answer is C

Explanation

Choice A reason: Reassuring the client about future children minimizes her current grief and loss, which is inappropriate during initial grieving. This dismisses the emotional significance of the stillbirth, potentially causing distress, making it an insensitive and incorrect action.
Choice B reason: Discouraging friends from seeing the newborn restricts the client’s support system and grieving process. Allowing such interactions can provide closure and comfort, so this action is counterproductive and insensitive, making it incorrect for supporting grief.
Choice C reason: Offering to take pictures of the newborn provides a tangible memory, supporting the client’s grieving process. This sensitive intervention validates the loss and aids emotional healing, aligning with best practices for stillbirth care, making it the correct action.
Choice D reason: Advising against discussing the stillbirth isolates the client and hinders grief processing. Open communication with family fosters support and healing, so this action is harmful and contradicts grief support principles, making it incorrect.

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A nurse is providing medication teaching about disulfiram for a client who has alcohol use disorder. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching participants at a community center about advance directives. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client who has experienced a stillbirth. Which of the following actions should the nurse take during the initial grieving process?

Correct Answer is C

Explanation

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