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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 C

Explanation

A. This response may invalidate the client's feelings and might not provide reassurance about the nurse's support.
B. This response deflects the client's statement and might not address the client's feelings of being cared for.
C. This response acknowledges the client's feelings, reinforces the presence of the nursing team, and emphasizes the collective goal of helping the client get better.
D. This response might indirectly question the client's perception and doesn't directly address the client's need for reassurance and support.

A. "I have three firearms locked in a safe at home." B. "I just feel like my life is filled with emptiness." C. "My panic attacks happen once every month." D. "My daughter is the only reason I keep trying."

Correct Answer is A

Explanation

A. This comment is crucial as it involves access to lethal means, which is a significant risk factor for suicidal behavior.
B. While feelings of emptiness are concerning, it might not immediately indicate imminent danger.
C. Panic attacks might signify anxiety, but this statement doesn't directly suggest an immediate risk of harm.
D. While the daughter being a reason to keep trying is positive, it doesn't address the immediate risk of access to firearms.

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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

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