A nurse is caring for a client who begins showing signs of alcohol withdrawal delirium. Which of the following medications should the nurse administer?

Methadone

Acamprosate

Disulfiram

Lorazepam

Answer and Explanation

The Correct Answer is D

A.   Methadone is an opioid agonist primarily used for the management of opioid dependence and chronic pain. It is not indicated for the treatment of alcohol withdrawal or delirium.
B.   Acamprosate is a medication used to support abstinence in individuals who have recently stopped drinking alcohol. It is not typically used to manage acute alcohol withdrawal symptoms such as delirium tremens.
C.   Disulfiram is a medication used as an aversive therapy to deter alcohol consumption by causing unpleasant reactions (e.g., flushing, nausea, vomiting) when alcohol is ingested. It is not indicated for the treatment of alcohol withdrawal or delirium.
D.   Lorazepam is a benzodiazepine commonly used to manage alcohol withdrawal symptoms, including delirium tremens. It acts by enhancing the inhibitory effects of gamma- aminobutyric acid (GABA) in the central nervous system, thereby reducing the symptoms of alcohol withdrawal such as seizures.

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Correct Answer is C

Explanation

A. Phenytoin can rarely cause a side effect known as "purple glove syndrome" if it infiltrates into the surrounding tissues during intravenous administration, leading to discoloration. However, this is not relevant to oral suspension administration.
B. Taking an antacid with phenytoin is generally not recommended as it may decrease the absorption of phenytoin. Phenytoin should be taken on an empty stomach to ensure optimal absorption.

C. Phenytoin oral suspension may settle over time, so it's important to shake the bottle well before measuring and administering each dose to ensure uniform distribution of the medication.
D. While obtaining an annual flu vaccine is generally advisable for individuals with epilepsy, it's not directly related to phenytoin administration and should be part of routine healthcare maintenance rather than specific guidance for phenytoin therapy.

A. "I'll need to report weight loss or gain to my provider while taking this medication." B. "I can stop taking this medication if I'm feeling better after the first month." C. “I should avoid eating cheese while taking this medication." D. "I'll take my second dose of this medicine at bedtime."

Correct Answer is A

Explanation

A. Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), can cause changes in weight.

Reporting weight changes to the healthcare provider is important for monitoring and managing potential side effects.

B. Fluoxetine and other antidepressants should not be stopped abruptly without consulting a healthcare provider, even if the client starts feeling better. Abrupt discontinuation can lead to withdrawal symptoms and worsening of depression.
C. Fluoxetine does not typically interact with cheese or tyramine-containing foods. This statement reflects a misunderstanding of the medication's dietary restrictions.
D. Fluoxetine is usually taken once daily in the morning due to its potential to cause insomnia as a side effect. Taking it at bedtime may exacerbate sleep disturbances.

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A nurse is caring for a client who begins showing signs of alcohol withdrawal delirium. Which of the following medications should the nurse administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a prescription for oral suspension phenytoin. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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