A nurse is reinforcing teaching with a client who has alcohol use disorder and is taking disulfiram. Which of the following statements should the nurse include in the teaching?
"This medication will cure alcohol use disorder."
"Avoid alcohol for 2 weeks after discontinuing the medication.”
"You can safely use topical products that contain alcohol, such as cologne."
"You should avoid eating undercooked meats while taking this medication.”
The Correct Answer is B
A. "This medication will cure alcohol use disorder.”
Disulfiram does not cure alcohol use disorder. It is a deterrent that causes unpleasant effects when alcohol is consumed, supporting abstinence.
B. "Avoid alcohol for 2 weeks after discontinuing the medication.”
Disulfiram inhibits aldehyde dehydrogenase. Its effects persist for up to 2 weeks after stopping, so alcohol must be avoided during this time.
C. "You can safely use topical products that contain alcohol, such as cologne."
False. Even topical alcohol-containing products (cologne, aftershave, hand sanitizers) can trigger a disulfiram reaction.
D. "You should avoid eating undercooked meats while taking this medication."
There is no known interaction between disulfiram and undercooked meat.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
A. Paranoid delusions:
Delirium tremens (DTs) may cause paranoid or persecutory delusions.
B. Grandiosity:
Typically associated with mania or certain personality disorders, not alcohol withdrawal.
C. Hypotension:
Alcohol withdrawal delirium is more likely to cause hypertension and tachycardia due to autonomic hyperactivity.
D. Tremors:
Tremors are a hallmark early sign of alcohol withdrawal and can persist into withdrawal delirium.
E. Visual hallucinations:
Alcohol withdrawal delirium often includes vivid visual (and tactile) hallucinations.
Correct Answer is C
Explanation
A. 0.10%
This was the legal limit in the past, but not currently in most states.
B. 0.5%
A level of 0.5% would likely result in coma or death.
C. 0.08%
This is the current legal limit in most U.S. states for blood alcohol concentration (BAC) when operating a motor vehicle.
D. 0.12%
Higher than the legal limit. A person with this BAC would be considered legally impaired.
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