A nurse is collecting data from a client admitted to an inpatient mental health unit and has a new prescription for disulfiram (Antabuse). Which of the following information is most important for the nurse to obtain before administering this medication?

History of kidney disease

When the client last drank alcohol

If the client has taken disulfiram before

History of liver disease

Answer and Explanation

The Correct Answer is D

A. History of kidney disease is not as critical for disulfiram administration. The primary concern is related to hepatic metabolism.

B. When the client last drank alcohol is relevant information, but it is not the most critical factor to consider before administering disulfiram. The primary mechanism of disulfiram is to inhibit the breakdown of acetaldehyde, leading to an unpleasant reaction if alcohol is consumed, regardless of when the client last drank.

C. Whether the client has taken disulfiram before is important information, but it does not take precedence over the assessment of liver function. The history of liver disease is more directly related to the potential risks and adverse effects associated with disulfiram use.

D. History of liver disease is crucial to assess before administering disulfiram because disulfiram is metabolized in the liver. Patients with a history of liver disease may have impaired liver function, and the medication may not be well-tolerated or could exacerbate existing liver issues.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

The nurse should first address the client's cardiac status followed by the client's Nutritional status

Explanation:

Cardiac status: Potassium levels are critically low, which can significantly impact cardiac function.
Nutritional status: The client has multiple electrolyte imbalances, which could be related to nutrition or absorption issues.

A. "This medication will prevent depress B. "This medication will improve your mood." C. "This medication will decrease your anxiety." D. "This medication will clear your thinking"

Correct Answer is D

Explanation

A. Stating that the medication will prevent depression is not accurate. Risperidone primarily addresses symptoms of psychosis and does not specifically target depression.

B. Indicating that the medication will improve mood is not the primary purpose of risperidone. Its focus is on managing psychotic symptoms rather than directly impacting mood.

C. Mentioning that the medication will decrease anxiety is not the primary action of risperidone. While it might indirectly reduce anxiety associated with psychotic symptoms, it's not its primary function.

D. "This medication will clear your thinking."
Risperidone is an antipsychotic medication commonly used to manage symptoms of schizophrenia, including hallucinations, delusions, and disorganized thinking. While it won't directly improve mood, decrease anxiety, or prevent depression, it aims to alleviate symptoms related to psychosis, allowing for clearer and more organized thinking by reducing hallucinations and delusions.

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A nurse is collecting data from a client admitted to an inpatient mental health unit and has a new prescription for disulfiram (Antabuse). Which of the following information is most important for the nurse to obtain before administering this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

A nurse is caring for a client who has paranoid schizophrenia and a new prescription for risperidone. The client asks the nurse what the s is supposed to do. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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