A nurse is caring for a client who is receiving treatment for chronic alcohol use disorder.
Which of the following medications should the nurse plan to administer to assist the client in maintaining abstinence by aversion therapy?
Atenolol.
Lorazepam.
Disulfiram.
Carbamazepine.
The Correct Answer is C
Choice A rationale:
Atenolol is a beta-blocker used to treat high blood pressure and heart-related conditions. It’s not used in the treatment of alcohol use disorder.
Choice B rationale:
Lorazepam is a benzodiazepine used to treat anxiety disorders. It can be used in the acute management of alcohol withdrawal, but it doesn’t assist in maintaining abstinence.
Choice C rationale:
Disulfiram is a medication used to support the treatment of chronic alcoholism by producing an acute sensitivity to ethanol (drinking alcohol) If alcohol is consumed when a patient has received disulfiram treatment, they suffer from a disulfiram-alcohol reaction, which can include symptoms like flushing, nausea, vomiting, and headaches. This aversive effect aids in discouraging the consumption of alcohol.
Choice D rationale:
Carbamazepine is an anticonvulsant and mood stabilizer medication used primarily in the treatment of epilepsy and bipolar disorder, not for alcohol use disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Dry mouth is a common side effect of diphenhydramine. Diphenhydramine is an antihistamine that is often used to treat allergies, insomnia, and symptoms of the common cold. It works by blocking the effects of histamine, a substance in the body that causes allergy symptoms. One of the effects of histamine is increased salivation, so when diphenhydramine blocks this effect, it can lead to dry mouth.
Choice B rationale:
Nausea is also a common side effect of diphenhydramine. This can occur because diphenhydramine can slow down the emptying of the stomach, leading to feelings of nausea. Additionally, diphenhydramine can affect the vestibular system in the inner ear, which can also lead to feelings of nausea.
Choice C rationale:
Agitation is considered an idiosyncratic reaction to diphenhydramine. An idiosyncratic reaction is an unusual or unexpected reaction to a drug that is not related to the usual pharmacological action of the drug. While diphenhydramine is typically used for its sedative effects, in some cases it can cause paradoxical central nervous system stimulation, leading to agitation.
Choice D rationale:
Dizziness is another common side effect of diphenhydramine. This occurs because diphenhydramine can affect the vestibular system in the inner ear, which plays a key role in maintaining balance. When this system is affected, it can lead to feelings of dizziness.
Correct Answer is A
Explanation
Choice A rationale:
Wheezing can be a sign of an allergic reaction to amoxicillin. It indicates that there may be constriction or inflammation in the airways, which can occur in an allergic reaction.
Choice B rationale:
Bradycardia, or a slower than normal heart rate, isn’t typically associated with an allergic reaction to amoxicillin.
Choice C rationale:
Polyuria, or excessive urination, isn’t typically a sign of an allergic reaction to amoxicillin.
Choice D rationale:
Bruising isn’t typically associated with an allergic reaction to amoxicillin. It could be related to other conditions or medications.
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