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: Cholinergic agonists like bethanechol would typically increase esophageal motility, not reduce it.
Choice B rationale: Bethanechol is used to stimulate the bladder, promoting improved emptying in patients with urinary retention.
Choice C rationale: Cholinergic agonists can cause pupillary constriction, not dilation.
Choice D rationale: Cholinergic agonists generally increase, rather than decrease, gastric secretions.
Correct Answer is A
Explanation
Choice A rationale: Before administering lithium, the nurse should assess serum creatinine levels. Lithium is excreted by the kidneys, and impaired renal function can lead to lithium toxicity.
Choice B rationale: Serum troponin I and T levels are markers of cardiac damage and are not directly related to lithium therapy.
Choice C rationale: Fasting blood glucose level is not specifically related to the assessment needed before administering lithium.
Choice D rationale: Serum lipid profile is not directly related to the assessment needed before administering lithium.
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