What severe side effect will occur if an alcoholic patient consumes alcohol while taking disulfiram (Antabuse)?

Nausea

Blackouts

Hypertension

Headaches

Answer and Explanation

The Correct Answer is A

A. Nausea. Disulfiram causes an acute sensitivity to alcohol. When alcohol is consumed, it leads to an accumulation of acetaldehyde, causing unpleasant effects like severe nausea, vomiting, and headache, deterring the individual from drinking.
B. Blackouts. Blackouts are periods of memory loss due to heavy drinking but are not specifically induced by the combination of disulfiram and alcohol.
C. Hypertension. While disulfiram can cause cardiovascular effects, hypertension is not the primary or most severe side effect of consuming alcohol while on disulfiram.
D. Headaches. Headaches are indeed a part of the disulfiram-alcohol reaction, but the primary severe side effect leading to the aversion is nausea.

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Correct Answer is C

Explanation

A. Help the patient interact in nonaddictive activities. While engaging in nonaddictive activities is important for long-term recovery, the primary concern during the detoxification period is managing withdrawal symptoms and ensuring safety.
B. Enroll the patient in Alcoholics Anonymous (AA). Enrolling in AA or similar support groups is beneficial for ongoing recovery, but the focus during detoxification should be on managing acute withdrawal symptoms and safety.
C. Keep the patient safe from aspiration and seizure. During detoxification, patients are at risk for serious complications such as seizures and aspiration due to withdrawal symptoms. Ensuring patient safety by monitoring for these conditions is a primary goal.
D. Help the patient gain insight into the addiction. Gaining insight into addiction is important for long-term recovery but is not the immediate priority during the detoxification period, which focuses on managing physical withdrawal symptoms and ensuring patient safety.

A. Wear gloves only if the skin appears broken or inflamed. B. Ask the patient about personal skin care. C. Avoid potentially embarrassing questions about rashes or scars. D. Have artificial, preferably fluorescent, lighting for proper illumination of the skin.

Correct Answer is B

Explanation

A. Wear gloves only if the skin appears broken or inflamed. Gloves should be worn to protect both the patient and the nurse from infection regardless of the appearance of the skin.
B. Ask the patient about personal skin care. Understanding the patient's personal skin care practices can provide insight into potential issues and areas needing attention.
C. Avoid potentially embarrassing questions about rashes or scars. Addressing rashes or scars is crucial for proper assessment and treatment, despite potential embarrassment.
D. Have artificial, preferably fluorescent, lighting for proper illumination of the skin. Proper lighting is important, but asking about personal skin care can provide additional context and help with a thorough assessment.

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What severe side effect will occur if an alcoholic patient consumes alcohol while taking disulfiram (Antabuse)?

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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