The nurse will suspect a disulfiram reaction (acetaldehyde syndrome) in a client with alcohol use disorder (AUD) with the following assessment findings:
Loquaciousness, altered judgment, and euphoria.
Confusion, nystagmus, and abnormal eye movements
Cramps, hallucinations and intense tremors
Nausea, copious vomiting, flushing and headache.
The Correct Answer is D
Choice A rationale: Loquaciousness, altered judgment, and euphoria are not typical findings of a disulfiram reaction.
Choice B rationale: Confusion, nystagmus, and abnormal eye movements are not typical findings of a disulfiram reaction.
Choice C rationale: Cramps, hallucinations, and intense tremors are not typical findings of a disulfiram reaction.
Choice D rationale: This is correct. Nausea, copious vomiting, flushing, and headache are classic symptoms of a disulfiram reaction (acetaldehyde syndrome) when alcohol is consumed while taking disulfiram (Antabuse).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Difficulty performing a voluntary movement, known as dyskinesia, is a potential side effect of Carbidopa-levodopa (Sinemet) used in Parkinson's Disease.
Choice B rationale: Increased blood pressure is not a typical side effect of Carbidopa-levodopa.
Choice C rationale: Increased constipation is not a typical side effect of Carbidopa- levodopa.
Choice D rationale: Itchiness of the skin is not a common side effect of Carbidopa- levodopa.
Correct Answer is B
Explanation
Choice A rationale: Physical dependence is a state where the body has adapted to the presence of the opioid, and abrupt cessation may lead to withdrawal symptoms. However, the patient's statement indicates tolerance more than physical dependence.
Choice B rationale: The patient is at risk for tolerance, which is the need for an increased dose of a substance to achieve the same effect. This is common in chronic opioid therapy.
Choice C rationale: Abstinence syndrome is another term for withdrawal syndrome, and this is more associated with sudden cessation of opioids.
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