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: Alprazolam (Xanax) exerts its therapeutic effect by interacting with gamma-aminobutyric acid (GABA) receptors, leading to anxiolytic and sedative effects.
Choice B rationale: Norepinephrine is not the primary neurotransmitter affected by alprazolam.
Choice C rationale: Acetylcholine is not the primary neurotransmitter affected by alprazolam.
Choice D rationale: Serotonin (5-HT) is not the primary neurotransmitter affected by alprazolam.
Correct Answer is A
Explanation
Choice A rationale: Methylphenidate is a central nervous system stimulant, and excessive caffeine intake can exacerbate its stimulant effects. Consuming an unlimited number of cola soft drinks, which typically contain caffeine, is not advisable. The patient should be educated to moderate caffeine intake to avoid potential interactions and side effects.
Choice B rationale: Methylphenidate can interact with caffeine, so avoiding chocolate, coffee, and tea is a valid recommendation to prevent excessive stimulant effects.
Choice C rationale: Decaffeinated coffee still contains a small amount of caffeine, and patients taking methylphenidate should be aware of this to manage their overall caffeine intake.
Choice D rationale: Taking methylphenidate after breakfast is a common recommendation to minimize appetite suppression and potential weight loss associated with the medication.
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