The nurse recognizes a potential health threat to an alcoholic ...

[future617RT]

The nurse recognizes a potential health threat to an alcoholic patient who is using the drug disulfiram when the nurse reads in the health record that the patient is also taking which of the following? (Select all that apply.)
 
  a. Blood thinners
  b. Diphenhydramine
  c. Alcohol
  d. Penicillin
  e. Mouthwash

Question 2

The nurse assesses the outcomes of a motivational interview on a patient with a dual diagnosis of alcoholism with delirium tremens (DTs) and determines that the communication was nontherapeutic. What is the nurse's next priority?
 
  a. Encourage the patient to think of ways to change environmental triggers to abuse substances.
  b. Ask the patient what methods they think would work and encourage participating in self-help groups.
  c. Notify provider to obtain order for oxazepam and vitamin B infusion.
  d. Notify provider to obtain order for CT scan and psychologic consult.

[joshraies]

Answer to Question 1

ANS: A, C, E
Disulfiram increases the effect of anticoagulants such as warfarin (Coumadin). Ingesting alcohol may cause headache, nausea, vomiting, tachycardia, chest pain, or dizziness. Mouthwash can have alcohol as one of the main ingredients and should be checked prior to using.

Answer to Question 2

ANS: C
The patient will need to be treated for the psychosis prior to conducting the motivational interview, because the patient can become violent and nonreceptive to the interventions. Oxazepam and vitamin B are the two therapies that work for DTs.

[future617RT]

TYSM

[emsimon14]

Excellent