A nurse is teaching a client who is prescribed disulfiram (Antabuse) for alcohol use disorder. Which of the following statements by the client indicates an understanding of the teaching?

"I can drink alcohol as long as I skip the dose of disulfiram."

"I should avoid using mouthwash that contains alcohol."

"I will experience euphoria if I drink alcohol while taking disulfiram."

"I can stop taking disulfiram once I have been sober for a month."

Answer and Explanation

The Correct Answer is B

Correct answer: b) "I should avoid using mouthwash that contains alcohol."

Rationale: Disulfiram works by inhibiting the enzyme that metabolizes alcohol, causing a buildup of acetaldehyde in the body. This produces a severe reaction when alcohol is consumed, which includes flushing, headache, nausea, vomiting, chest pain, and hypotension. The reaction can occur even with small amounts of alcohol found in mouthwash, cough syrup, perfume, or food.

Incorrect choices:

a) "I can drink alcohol as long as I skip the dose of disulfiram.": This is incorrect as the effects of disulfiram can last for up to two weeks after the last dose. The client should abstain from alcohol completely while taking disulfiram and for at least 14 days after stopping the medication.

c) "I will experience euphoria if I drink alcohol while taking disulfiram.": This is incorrect as the reaction caused by disulfiram and alcohol is unpleasant and aversive, not euphoric. The purpose of disulfiram is to deter the client from drinking alcohol by creating a negative association.

d) "I can stop taking disulfiram once I have been sober for a month.": This is incorrect as disulfiram is not a cure for alcohol use disorder, but a tool to help the client maintain sobriety. The client should continue taking disulfiram as prescribed by the provider and participate in other forms of treatment such as counseling, support groups, and relapse prevention.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Correct answer: a) Hypertension, tachycardia, and diaphoresis

Rationale: Opioid withdrawal symptoms are similar to those of sympathetic nervous system activation and include hypertension, tachycardia, diaphoresis, restlessness, anxiety, muscle aches, nausea, vomiting, and diarrhea.

Incorrect choices:

b) Hypotension, bradycardia, and constipation: These are signs of opioid intoxication or overdose, not withdrawal.

c) Hypothermia, lethargy, and miosis: These are also signs of opioid intoxication or overdose, not withdrawal.

d) Hyperthermia, agitation, and mydriasis: These are signs of stimulant abuse or withdrawal, not opioid withdrawal.

A. Hypotension and bradycardia B. Agitation and paranoia C. Slurred speech and ataxia D. Sedation and respiratory depression

Correct Answer is B

Explanation

Correct answer: b) Agitation and paranoia

Rationale: Agitation and paranoia are signs of stimulant intoxication and indicate that the client is experiencing a psychotic reaction to amphetamines. The nurse should provide a calm and safe environment, administer antipsychotics if ordered, and monitor the client for violence or self-harm.

Incorrect choices:
a) Hypotension and bradycardia: These are signs of depressant intoxication and indicate that the client is taking sedatives, opioids, or alcohol.
c) Slurred speech and ataxia: These are signs of depressant intoxication and indicate that the client is taking sedatives, opioids, or alcohol.
d) Sedation and respiratory depression: These are signs of depressant intoxication and indicate that the client is taking sedatives, opioids, or alcohol.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is teaching a client who is prescribed disulfiram (Antabuse) for 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 assessing a client who has a history of opioid abuse and is experiencing withdrawal symptoms. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A client is admitted to the emergency department with signs of stimulant intoxication. The client reports taking amphetamines prescribed by a friend for weight loss. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is reviewing the medication history of a client who is prescribed lithium carbonate (Lithobid) for bipolar disorder. Which of the following medications should alert the nurse to a potential drug interaction?

A client is prescribed alprazolam (Xanax) for anxiety disorder. The nurse should instruct the client to avoid which of the following substances while taking this medication?

A nurse is teaching a client who is prescribed disulfiram (Antabuse) for alcohol use disorder. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is assessing a client who has been prescribed oxycodone for chronic pain. Which of the following signs and symptoms should alert the nurse to possible prescription drug abuse?

A nurse is planning care for a client who has a benzodiazepine overdose. Which of the following interventions should the nurse include in the plan?

A nurse is caring for a client who has been prescribed benzodiazepines for anxiety disorder. The client tells the nurse that they have been taking more than the prescribed dose because they feel more anxious lately. Which of the following actions should the nurse take?

A nurse is caring for a client who has been taking amphetamine (Adderall) for attention-deficit/hyperactivity disorder (ADHD). The client reports insomnia, weight loss, and palpitations. Which of the following actions should the nurse take?