A nurse in a substance abuse clinic is assessing a client who was recently prescribed disulfiram. The patient suddenly stopped taking this medication and is now complaining of severe nausea and vomiting. What should the nurse suspect is likely the cause of the client's distress?
The client is experiencing a common side effect to the medication.
The client consumed alcohol while taking the medication.
The client may have taken an overdose of this medication.
The client is demonstrating an allergic response to this medication.
The Correct Answer is B
A. Disulfiram itself does not usually cause nausea and vomiting unless combined with alcohol.
B. Disulfiram is used as aversion therapy for alcohol dependence. If the client consumes alcohol while on disulfiram, it produces an acetaldehyde reaction causing severe nausea, vomiting, flushing, hypotension, and palpitations.
C. Overdose may cause neurologic or cardiac issues, but the hallmark reaction is linked to alcohol consumption.
D. Allergic reactions would typically involve rash, swelling, or respiratory distress, not severe nausea and vomiting alone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Clients experiencing grandiose thinking during acute mania often have inflated self-esteem and unrealistic ideas of ability or importance, making controlling or monitoring their thoughts a priority nursing outcome.
B. While sleep disturbances are common in mania, this outcome does not directly address grandiose thinking.
C. Increased engagement in the environment may occur, but it is not the primary expected outcome for controlling grandiose thoughts.
D. Optimism may be present, but grandiosity involves exaggerated self-perceptions rather than realistic optimism.
Correct Answer is A
Explanation
A. Repeated vomiting in bulimia nervosa can cause swelling of the parotid glands, which is a common physical sign of the disorder.
B. Unlike anorexia nervosa, patients with bulimia are often normal weight or slightly overweight, not severely underweight.
C. Edema is not a typical finding in bulimia unless there is severe electrolyte imbalance, which is less common.
D. Lanugo (fine hair covering the body) is usually associated with anorexia nervosa, not bulimia nervosa.
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