A nurse is reinforcing teaching with a client who has alcohol use disorder and is taking disulfiram. Which of the following statements should the nurse include in the teaching?
"This medication will cure alcohol use disorder."
"Avoid alcohol for 2 weeks after discontinuing the medication.”
"You can safely use topical products that contain alcohol, such as cologne."
"You should avoid eating undercooked meats while taking this medication.”
The Correct Answer is B
A. "This medication will cure alcohol use disorder.”
Disulfiram does not cure alcohol use disorder. It is a deterrent that causes unpleasant effects when alcohol is consumed, supporting abstinence.
B. "Avoid alcohol for 2 weeks after discontinuing the medication.”
Disulfiram inhibits aldehyde dehydrogenase. Its effects persist for up to 2 weeks after stopping, so alcohol must be avoided during this time.
C. "You can safely use topical products that contain alcohol, such as cologne."
False. Even topical alcohol-containing products (cologne, aftershave, hand sanitizers) can trigger a disulfiram reaction.
D. "You should avoid eating undercooked meats while taking this medication."
There is no known interaction between disulfiram and undercooked meat.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. psychological
Vague and incorrect term. Withdrawal involves both physical and psychological symptoms.
B. abstinence
Abstinence means refraining from use, not the symptoms that follow.
C. physiological
Not specific. The term doesn’t capture the clinical syndrome of alcohol cessation.
D. alcohol withdrawal
Alcohol withdrawal syndrome includes symptoms like tremors, agitation, hallucinations, and seizures, and can be life-threatening.
Correct Answer is A
Explanation
A. Maintain a non-judgmental attitude
This promotes therapeutic communication and supports trust-building, crucial in treating clients with substance use disorders.
B. Avoid mentioning alcohol use when collecting client data
Avoiding discussion can lead to missed safety issues. It's important to ask directly but respectfully.
C. Verbalize disapproval of the substance abuse
This is non-therapeutic and may cause the client to shut down or feel shamed.
D. Offer sympathy that the client is in the current situation
Sympathy can be patronizing. Empathy and professional neutrality are more appropriate.
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