Thursday, July 23, 2015

218) ANSWER
A) Cefoxitan (Mefoxin)

RATIONALE
A disulfiram-like effect is associated with certain drugs, including metronidazole (Flagyl). Onset is usually within 15-30 minutes of ingestion of alcohol, but can occur up to 72 hours after Flagyl has been discontinued. The reaction lasts approximately 20-30 minutes but can remain up to 24 hours. The core issue of the question is knowledge of which drugs can cause a disulfiram-like reaction when used with alcohol. Use specific nursing knowledge and the process of elimination to make a selection.

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