The client receives disulfiram (Antabuse) and asks the nurse what will happen if alcohol is consumed while taking this drug. What is the best response by the nurse?
1. "It really depends on how much alcohol you drink."
2. "Headache and nausea or vomiting are the most common effects."
3. "There is a good chance you will become very euphoric."
4. "Most people experience severe depression and suicidal thoughts."
2
Rationale 1:"It really depends on how much alcohol you drink" is incorrect because euphoria, severe depression, and suicidal thoughts do not occur. These are not symptoms of an accumulation of acetaldehyde in the blood. Any amount of alcohol will result in symptoms because disulfiram (Antabuse) inhibits acetaldehyde dehydrogenase.
Rationale 2:"Headache and nausea or vomiting are the most common effects." Disulfiram (Antabuse) inhibits acetaldehyde dehydrogenase, the enzyme that metabolizes alcohol. If alcohol is consumed while taking disulfiram (Antabuse), the client becomes violently ill within 5–10 minutes, with headache, shortness of breath, nausea or vomiting, and other unpleasant symptoms. These symptoms are the result of an accumulation of acetaldehyde in the blood.
Rationale 3:"There is a good chance you will become very euphoric" is incorrect because euphoria, severe depression, and suicidal thoughts do not occur. These are not symptoms of an accumulation of acetaldehyde in the blood. Any amount of alcohol will result in symptoms because disulfiram (Antabuse) inhibits acetaldehyde dehydrogenase.
Rationale 4:"Most people experience severe depression and suicidal thoughts" is incorrect because euphoria, severe depression, and suicidal thoughts do not occur. These are not symptoms of an accumulation of acetaldehyde in the blood. Any amount of alcohol will result in symptoms because disulfiram (Antabuse) inhibits acetaldehyde dehydrogenase.
Global Rationale: "Headache and nausea or vomiting are the most common effects." Disulfiram (Antabuse) inhibits acetaldehyde dehydrogenase, the enzyme that metabolizes alcohol. If alcohol is consumed while taking disulfiram (Antabuse), the client becomes violently ill within 5–10 minutes, with headache, shortness of breath, nausea or vomiting, and other unpleasant symptoms. These symptoms are the result of an accumulation of acetaldehyde in the blood. "It really depends on how much alcohol you drink" is incorrect because euphoria, severe depression, and suicidal thoughts do not occur. These are not symptoms of an accumulation of acetaldehyde in the blood. Any amount of alcohol will result in symptoms because disulfiram (Antabuse) inhibits acetaldehyde dehydrogenase. "There is a good chance you will become very euphoric" is incorrect because euphoria, severe depression, and suicidal thoughts do not occur. These are not symptoms of an accumulation of acetaldehyde in the blood. Any amount of alcohol will result in symptoms because disulfiram (Antabuse) inhibits acetaldehyde dehydrogenase. "Most people experience severe depression and suicidal thoughts" is incorrect because euphoria, severe depression, and suicidal thoughts do not occur. These are not symptoms of an accumulation of acetaldehyde in the blood. Any amount of alcohol will result in symptoms because disulfiram (Antabuse) inhibits acetaldehyde dehydrogenase.
You might also like to view...
When teaching the client how to use a straight cane, the nurse would include which of the following?
1. Hold the cane with the hand on the weak side. 2. Remove all scatter rugs from the home. 3. Move the cane 12 inches ahead of the foot. 4. Keep the elbow straight when moving the cane forward.
A nurse visits an elderly client at home and assesses the safety of the client's environment. Which of the following poses the greatest threat to the client's safety?
A) A laundry bag at the corner of the room B) Skid-resistant small area rugs on the floor C) Area rugs kept on the stairs without carpet D) Carpet on the floor of the living room
Most digestion of protein begins in the:
1. mouth. 2. stomach. 3. small intestine. 4. large intestine.
The nurse is admitting a new patient to the floor and asks if the patient has any dizziness. Why does the nurse do this?
A) To assess for heart problems B) To assess for pancreatic problems C) To check for possible dehydration D) To check for an absorption problem