A nurse in an outpatient clinic is providing education to a client who has alcohol use disorder and a prescription for disulfiram. Which of the following statements should the nurse include in the teaching?
"Once you stop taking disulfiram, you may resume alcohol consumption."
"You must avoid even small amounts of alcohol while taking disulfiram."
"It is common for you to develop an intractable headache when you first take disulfiram."
"Disulfiram works by changing the way that alcohol tastes."
The Correct Answer is B
A. "Once you stop taking disulfiram, you may resume alcohol consumption.": While alcohol can be consumed after discontinuing disulfiram, this does not address the ongoing risk during therapy. Clients must understand that alcohol consumption while on disulfiram can cause severe reactions.
B. "You must avoid even small amounts of alcohol while taking disulfiram.": Disulfiram inhibits aldehyde dehydrogenase, causing accumulation of acetaldehyde when alcohol is consumed. Even small amounts of alcohol can trigger nausea, vomiting, hypotension, and flushing, so strict avoidance is essential.
C. "It is common for you to develop an intractable headache when you first take disulfiram.": Headaches are not a typical expected reaction when initiating disulfiram. Adverse effects mainly occur if alcohol is consumed concurrently, rather than spontaneously from the medication itself.
D. "Disulfiram works by changing the way that alcohol tastes.": Disulfiram does not alter the taste of alcohol; it produces a physiological reaction when alcohol is ingested, serving as a deterrent rather than changing flavor perception.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Dry mucus membranes: Dry mouth or dehydration can occur with many conditions or medications, but it is not a characteristic sign of digoxin toxicity. It is unrelated to digoxin’s effects on the heart or vision.
B. Heart rate 62/min: A heart rate of 62/min may be normal for many adults and does not automatically indicate digoxin toxicity. Toxicity more commonly presents with bradycardia below the client’s baseline or with irregular rhythms.
C. Hypertension: Digoxin primarily affects cardiac contractility and conduction rather than blood pressure. Hypertension is not typically associated with digoxin toxicity.
D. Client reports yellow-tinged vision: Visual disturbances such as yellow or green halos around objects, blurred vision, or changes in color perception are classic manifestations of digoxin toxicity. These symptoms occur due to digoxin’s effect on retinal photoreceptors and are important early indicators for intervention.
Correct Answer is ["19.555"]
Explanation
Calculation
Total Volume: 350 mL
Total Infusion Time: 3 hr
Drop Factor: 10 gtt/mL
- Convert Total Infusion Time from Hours to Minutes
Time in minutes = 3 hr x 60 min/hr
= 180 min
- Calculate the Flow Rate (gtt/min)
Flow Rate (gtt/min) = (Total Volume (mL) /Time (min)) x Drop Factor (gtt/mL)
= (350 / 180 min) x 10 gtt/mL
= 1.944 x 10
= 19.444 gtt/min
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