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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 B

Explanation

A. Positioning a table might create a barrier and hinder rapport-building during the interview.
B. Reducing noise levels helps create a more conducive environment for communication and allows better focus during the interview.
C. Sitting too close might invade the client's personal space and could be uncomfortable or threatening.
D. Dimming the lights might not be suitable as it can hinder communication and create a less engaging environment for the interview.

A. Ask the client to describe and identify the source of the feelings. B. Provide education about ways to cope with anxiety. C. Escort the client from the group to reduce stimuli. D. Assist the client with relaxation techniques in the group.

Correct Answer is D

Explanation

A. Asking the client to describe and identify the source of feelings might escalate the anxiety and might not be immediately helpful in reducing anxiety levels.
B. Providing education about coping with anxiety might be beneficial, but in a moment of severe anxiety, immediate intervention to reduce anxiety is more crucial.
C. Escorting the client from the group might be necessary in some cases, but assisting with relaxation techniques within the group setting can offer immediate support and relief.
D. Assisting the client with relaxation techniques in the group can help reduce anxiety and provide immediate support.

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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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