A nurse is providing medication teaching about disulfiram for a client who has alcohol use disorder. Which of the following statements by the client indicates an understanding of the teaching?

"I will plan to continue taking this medication for at least 5 years."

"My provider wants me to take this medication for 2 weeks before I try to quit drinking."

"I should avoid over-the-counter medications that contain alcohol."

"I will need to get a monthly injection of this medication."

Answer and Explanation

The Correct Answer is C

Rationale:
A. "I will plan to continue taking this medication for at least 5 years.": Disulfiram therapy is not prescribed for a fixed duration such as 5 years. The length of treatment depends on the client’s motivation and response, typically continuing until long-term abstinence is maintained.

B. "My provider wants me to take this medication for 2 weeks before I try to quit drinking.": Disulfiram must be started only after the client has abstained from alcohol for at least 12 hours, not before quitting. Taking it while alcohol is still in the system can trigger severe reactions such as flushing, nausea, vomiting, and hypotension.

C. "I should avoid over-the-counter medications that contain alcohol.": Even small amounts of alcohol—such as in cough syrups, mouthwash, or sauces—can cause a dangerous disulfiram-alcohol reaction. Clients must avoid all alcohol-containing products.

D. "I will need to get a monthly injection of this medication.": Disulfiram is taken orally, usually once daily, and does not come in injectable form. The injectable medication used for alcohol dependence is naltrexone (Vivitrol).

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Correct Answer is C

Explanation

Rationale:
A. "I realize it can be hard to know what to expect at the moment my partner passes away.": This statement shows acknowledgment of the approaching death and emotional preparedness. It reflects acceptance and anticipatory grieving rather than denial.

B. "I have been taking pictures of others who visit with my partner so I can remember these days.": This indicates emotional awareness and an effort to preserve memories, suggesting the partner is coping and processing the impending loss.

C. "I'm shocked everyone has lost hope that my partner will overcome this illness.": This reflects denial, a common early grief reaction where the person struggles to accept the reality of impending death. The partner’s belief that recovery is still possible, despite the terminal prognosis, indicates difficulty facing the truth of the illness.

D. "I have been making arrangements so I can be at my partner's side when they pass away.": This demonstrates planning and emotional acceptance. The partner is preparingwhich reflects adaptive coping rather than denial.

A. Prepare an IV bolus of dextrose 5% in water. B. Administer methylergonovine IM. C. Administer calcium gluconate IV. D. Position the client supine.

Correct Answer is C

Explanation

Rationale:
A. Prepare an IV bolus of dextrose 5% in water: Administering dextrose does not reverse magnesium sulfate toxicity. Dextrose primarily provides energy and fluid but has no effect on magnesium levels or neuromuscular function.

B. Administer methylergonovine IM: Methylergonovine is used to treat postpartum hemorrhage by promoting uterine contractions. It does not counteract magnesium toxicity and is unrelated to this emergency situation.

C. Administer calcium gluconate IV: Calcium gluconate is the antidote for magnesium sulfate toxicity. It works by antagonizing magnesium at neuromuscular junctions, reversing respiratory depression, hypotonia, and loss of deep tendon reflexes associated with toxicity.

D. Position the client supine: While client positioning may assist with comfort or circulation, supine positioning does not treat magnesium sulfate toxicity. The priority is administering the antidote to prevent further complications such as respiratory arrest.

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A nurse is providing medication teaching about disulfiram for a client who has alcohol use disorder. Which of the following statements by the client indicates an understanding of the teaching?

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