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A client who is an alcoholic receives a prescription for disulfiram 500 mg by mouth (PO) daily. Which instruction should the nurse provide to this client?

Take the medication with at least 8 ounces (240 mL) of water and limit alcohol consumption while taking this medication.

Begin taking the medication immediately and take it daily, regardless of whether or not you drink alcohol.

Take the medication at bedtime and avoid consuming any more than one ounce of alcohol daily.

Take the medication each morning beginning 48 hours after your last drink of alcohol.

Answer and Explanation

The Correct Answer is D

A. Take the medication with at least 8 ounces (240 mL) of water and limit alcohol consumption while taking this medication is incorrect. Alcohol must be completely avoided while taking disulfiram, as even small amounts can cause a severe reaction (e.g., nausea, vomiting, headache, flushing, hypotension).

B. Begin taking the medication immediately and take it daily, regardless of whether or not you drink alcohol is incorrect. Disulfiram should not be started until at least 12–48 hours after the last drink to prevent an acute reaction.

C. Take the medication at bedtime and avoid consuming any more than one ounce of alcohol daily is incorrect. Alcohol must be strictly avoided in any amount.

D. Take the medication each morning beginning 48 hours after your last drink of alcohol is correct. Disulfiram should be initiated at least 12–48 hours after the last alcohol consumption to prevent adverse reactions. The medication is usually taken in the morning to promote adherence.

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Correct Answer is D

Explanation

A. Developing a list of pleasurable activities might be beneficial but might not directly address the lack of motivation and psychomotor retardation.
B. Encouraging exercise is generally helpful but might be challenging for someone experiencing hypersomnia and lack of motivation.
C. Providing education on methods to enhance sleep is important, but it might not directly address psychomotor retardation or motivation.
D. Teaching the client to develop a plan for daily structured activities can provide a sense of purpose, routine, and help combat psychomotor retardation and lack of motivation commonly seen in depression.

A. Mail education items to the home for batterer treatment options B. Provide referrals from the physician for mental health services C. Follow up with the client in a few weeks D. Call the police as a mandatory reporter E. Document verbatim statements about the abuse

Correct Answer is ["B","C","E"]

Explanation

A. Mailing education items to the home for batterer treatment options might not be appropriate without the client's consent or discussion.
B. Providing referrals for mental health services aligns with addressing the client's needs.
C. Following up with the client in a few weeks ensures continuity of care and monitoring of the client's progress.
D. Calling the police as a mandatory reporter might be necessary if there's an immediate threat, but it's not mentioned in the scenario.
E. Documenting verbatim statements about the abuse is crucial for accurate record-keeping and legal purposes.

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A client who is an alcoholic receives a prescription for disulfiram 500 mg by mouth (PO) daily. Which instruction should the nurse provide to this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["B","C","E"]

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