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 B
Explanation
Choice A rationale: While methotrexate can help prevent fatal toxicities associated with rheumatoid arthritis, this is not the primary reason for its use in this context.
Choice B rationale: This is correct. Starting methotrexate early in the course of rheumatoid arthritis can help delay the disease process of joint degeneration and prevent irreversible damage.
Choice C rationale: While controlling symptoms is important for the patient's quality of life, starting methotrexate is more about preventing joint damage and progression of the disease than increasing life expectancy.
Correct Answer is B
Explanation
Choice A rationale: Sodium levels are not typically affected by beta blockers, so routine monitoring may not include this parameter.
Choice B rationale: Beta blockers can impact glucose metabolism, and monitoring glucose levels is essential to detect any changes or abnormalities.
Choice C rationale: Thyrotropin levels are not directly influenced by beta blockers; monitoring thyroid function is not a routine part of beta blocker monitoring.
Choice D rationale: Creatine phosphokinase is not routinely monitored in clients taking beta blockers, as it is not directly affected by this class of medication.
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