Alcohol becomes a violent illness
Before you read
Test yourself first: 5 questions
Question 1 of 5
A client recovering from alcohol use disorder is prescribed disulfiram. Which statement by the client indicates correct understanding of the teaching?
Answer: B. Disulfiram blocks aldehyde dehydrogenase, so any alcohol intake causes a severe reaction (flushing, throbbing headache, nausea, vomiting, hypotension). Clients must avoid all sources of alcohol, including mouthwash, cough syrups, aftershave, and certain sauces. The drug does not reduce cravings, is not taken only when craving, and the reaction is unpleasant, not pleasant.
Question 2 of 5
A client is to receive negative-pressure wound therapy (wound vac). Which statement best describes how this therapy promotes healing?
Answer: A. Negative-pressure wound therapy applies controlled subatmospheric (negative) pressure to the wound, which removes excess exudate, reduces edema, increases local blood flow, and promotes the formation of granulation tissue. It is not used to cauterize tissue or deliver systemic antibiotics.
Question 3 of 5
A client with a peptic ulcer caused by Helicobacter pylori is prescribed triple therapy. Which combination reflects standard H. pylori eradication treatment?
Answer: B. Standard first-line triple therapy for H. pylori is a proton pump inhibitor plus two antibiotics, commonly clarithromycin and amoxicillin (or metronidazole if penicillin-allergic), for 10 to 14 days. A single antibiotic promotes resistance and is inadequate. Antacids alone, or sucralfate plus an antacid, do not eradicate the organism. Combining a PPI with two antibiotics is the evidence-based regimen.
Question 4 of 5
A client with chronic hepatitis B is started on antiviral therapy. The nurse teaches that the main goal of this treatment is to:
Answer: A. Antiviral therapy for chronic hepatitis B suppresses viral replication, which lowers the viral load and reduces ongoing liver inflammation and the long-term risk of cirrhosis and liver cancer. It does not provide immediate cure for all clients, does not restore already-scarred liver tissue, and is not an antibiotic for bacterial infection.
Question 5 of 5
A nurse is teaching a client about salmeterol, a long-acting beta-2 agonist (LABA). Which statement by the client indicates correct understanding?
Answer: B. Salmeterol is a long-acting beta-2 agonist used for maintenance (controller) therapy and has a slow onset, so it cannot relieve an acute attack. The client must use a short-acting bronchodilator such as albuterol for rescue. LABAs in asthma should never be used as monotherapy and are combined with an inhaled corticosteroid.
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References
Clinical references for this topic
