Disulfiram antabuse is prescribed for a client who is

104.) Disulfiram (Antabuse) is prescribed for a client who is seen in the psychiatric health care
clinic. The nurse is collecting data on the client and is providing instructions regarding the use of
this medication. Which is most important for the nurse to determine before administration of
this medication?
1. A history of hyperthyroidism
2. A history of diabetes insipidus
3. When the last full meal was consumed
4. When the last alcoholic drink was consumed 4. When the last alcoholic drink was consumed
Rationale:
Disulfiram is used as an adjunct treatment for selected clients with chronic alcoholism who want

to remain in a state of enforced sobriety. Clients must abstain from alcohol intake for at least 12
hours before the initial dose of the medication is administered. The most important data are to
determine when the last alcoholic drink was consumed. The medication is used with caution in
clients with diabetes mellitus, hypothyroidism, epilepsy, cerebral damage, nephritis, and hepatic
disease. It is also contraindicated in severe heart disease, psychosis, or hypersensitivity related
to the medication.
105.) A nurse is collecting data from a client and the client's spouse reports that the client is
taking donepezil hydrochloride (Aricept). Which disorder would the nurse suspect that this
client may have based on the use of this medication?
106.) Fluoxetine (Prozac) is prescribed for the client. The nurse reinforces instructions to the
client regarding the administration of the medication. Which statement by the client indicates
an understanding about administration of the medication?