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 C
Explanation
Choice A rationale: Alendronate should be taken in the morning, not at bedtime, and the patient should remain upright for at least 30 minutes afterward to reduce the risk of esophageal irritation and ulceration.
Choice B rationale: Alendronate is often prescribed for longer durations, and the maximum duration is not typically limited to 1 to 2 years. The duration of treatment is individualized based on the patient's risk factors.
Choice C rationale: Alendronate should be taken while sitting upright with plenty of water to ensure proper esophageal transit and minimize the risk of irritation.
Choice D rationale: Alendronate should be taken with plain water, and taking it with coffee or orange juice is not recommended, as it may decrease absorption.
Correct Answer is D
Explanation
Choice A rationale: Temperature is not a priority assessment before the administration of metoprolol for chronic stable angina.
Choice B rationale: Urinary function is not a priority assessment before the administration of metoprolol for chronic stable angina.
Choice C rationale: Respiratory rate is not a priority assessment before the administration of metoprolol for chronic stable angina.
Choice D rationale: The priority assessment before the administration of metoprolol is the heart rate. Metoprolol is a beta-blocker that primarily affects the heart rate, so it is important to assess for bradycardia before administration.
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