A nurse is caring for a client who consumed alcohol 2 days after taking disulfiram. The nurse should monitor the client for which of the following findings?

Constipation

Dry skin

Hypotension

Urinary retention

Answer and Explanation

The Correct Answer is C

Choice A reason: Constipation isn’t a primary effect of disulfiram-alcohol reaction, which causes acetaldehyde buildup, triggering vasodilation and nausea, not gut motility issues. Scientifically, this reaction targets cardiovascular and systemic responses, lacking evidence for significant gastrointestinal stasis as a monitored outcome in this scenario.

Choice B reason: Dry skin isn’t linked to disulfiram-alcohol interaction, which induces flushing and sweating from acetaldehyde toxicity, not dehydration. Scientifically, the reaction affects vascular and autonomic systems, producing moist, not dry, skin responses, making this an unrelated finding for monitoring here.

Choice C reason: Hypotension occurs in disulfiram-alcohol reaction as acetaldehyde dilates vessels, dropping blood pressure. This cardiovascular effect, alongside tachycardia, is a key sign to monitor, aligning with scientific understanding of the drug’s inhibition of aldehyde dehydrogenase, causing systemic distress.

Choice D reason: Urinary retention isn’t a typical disulfiram-alcohol effect; the reaction focuses on vasodilation, nausea, and hypotension from acetaldehyde. Scientifically, autonomic overstimulation may occur, but bladder dysfunction isn’t a primary outcome, making this less critical to monitor than cardiovascular collapse.

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Correct Answer is C

Explanation

Choice A reason: Tetracycline allergy doesn’t cross-react with azithromycin, a macrolide. They’re distinct classes, so this isn’t a concern for chlamydia treatment safety.

Choice B reason: Sulfonamide allergy is unrelated to azithromycin’s macrolide structure. No cross-sensitivity exists, making this irrelevant for reporting in this case.

Choice C reason: Azithromycin is a macrolide; allergy to this class risks anaphylaxis. Reporting ensures safe alternative prescribing for chlamydia, a critical safety step.

Choice D reason: Penicillin allergy doesn’t affect azithromycin use; they’re unrelated structurally. This doesn’t require reporting, as no cross-reaction occurs here.

A. "You owe it to your mother to take care of her now that she needs you." B. "Let me give you some information about respite care for your mother." C. "I think you should find other family members who could help your mother." D. "You should think about placing your mother in a long-term care facility."

Correct Answer is B

Explanation

Choice A reason: Guilt-tripping with duty ignores caregiver burden, risking burnout. Scientifically, this lacks support for Alzheimer’s care, as emotional pressure doesn’t address practical needs, potentially worsening family stress and health outcomes contrary to holistic care principles.

Choice B reason: Offering respite care info supports the son, reducing stress with temporary relief options. Scientifically, this aligns with caregiver well-being research, as breaks improve mental health and sustain home care for Alzheimer’s, addressing his needs effectively.

Choice C reason: Suggesting other family help assumes availability, potentially straining dynamics without solutions. Scientifically, this shifts burden without support, less effective than respite, as it doesn’t guarantee aid or address the son’s immediate caregiving capacity.

Choice D reason: Long-term care is a major step, not initial support, and may feel dismissive. Scientifically, it skips intermediate options like respite, which better sustain home care for mild conditions, misaligning with gradual care escalation principles.

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A nurse is caring for a client who consumed alcohol 2 days after taking disulfiram. The nurse should monitor the client for which of the following findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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