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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Understanding the purpose of the medication regimen is important but might not be the most immediate concern.
B. Improving sleep to at least six hours a night addresses the client's reported insomnia and supports their physical well-being.
C. Describing the reasons for hospitalization might be essential for the client's understanding but might not have the immediate urgency.
D. Meeting the scheduled appointment with the dietitian is important for nutritional concerns but might not directly address the client's reported sleep and weight loss within the first three days of treatment.
Correct Answer is D
Explanation
A. Vomiting, seizures, and loss of consciousness are severe manifestations but not commonly associated with narcotic withdrawal.
B. Depression, fatigue, and dizziness are symptoms commonly associated with depression but not specifically with narcotic withdrawal.
C. Hypotension, shallow respirations, and dilated pupils are more indicative of opioid overdose rather than withdrawal.
D. Agitation, sweating, and abdominal cramps are common symptoms of narcotic withdrawal.
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