A client develops an inflamed. very painful right great toe overnight and the physician diagnoses gout. Treatment with colchicine is begun at 0.6 mg PO every two hours. For which side effect of this drug should the nurse assess?

Cold, pale feet

Diarrhea

Menorrhagia

Rash

Answer and Explanation

The Correct Answer is B

A. Cold, pale feet are not a typical side effect of colchicine.

B. Diarrhea is a well-known side effect of colchicine, commonly used to treat acute gout flares. The nurse should monitor for gastrointestinal symptoms.

C. Menorrhagia (heavy menstrual bleeding) is not associated with colchicine.

D. Rash is not a common side effect of colchicine but can occur. The nurse should primarily monitor for gastrointestinal symptoms like diarrhea.

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Correct Answer is A

Explanation

A. Full weight bearing is often allowed immediately after surgery with a cemented prosthesis to facilitate early mobility.

B. Toe touch weight bearing is typically reserved for certain types of hip surgeries, not cemented prostheses.

C. Non-weight bearing is usually for surgeries with significant healing time required for the bone.

D. Partial weight bearing may be prescribed in some cases but is less common with cemented prostheses.

A. Explain the importance of increasing activity gradually. B. Have the client demonstrate use of assistive devices. C. Discuss use of abductor pillow between thighs when turning in bed. D. Tell the client to ambulate with open-toed house shoes. E. Instruct the client not to take medication prior to ambulating

Correct Answer is ["A","B","C"]

Explanation

A. Gradually increasing activity helps in recovery and prevents complications like blood clots.

B. Having the client demonstrate the use of assistive devices ensures proper use and safety during ambulation.

C. Using an abductor pillow helps maintain hip alignment and prevents dislocation while turning in bed.

D. Open-toed house shoes are not recommended as they do not provide adequate support or protection.

E. It is important for the client to manage pain appropriately, including taking medication before activities such as walking.

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A client develops an inflamed. very painful right great toe overnight and the physician diagnoses gout. Treatment with colchicine is begun at 0.6 mg PO every two hours. For which side effect of this drug should the nurse assess?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client returns to the unit after undergoing a total hip replacement with a cemented prosthesis. Which order should the nurse anticipate regarding weight bearing status?

Correct Answer is A

Explanation

Which interventions should be included in discharge teaching for a client who has had a total hip replacement? (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","C"]

Explanation

The nurse is caring for a client who has sustained multiple injuries, including a fractured pelvis and femur. Two days later, the client becomes restless and confused. The nurse notes petechiae on the client's neck and chest. The nurse should expect which physician order?

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A nurse is teaching a client about avoiding a gout attack. In evaluating the client's recall of a low purine diet, which dietary choice would indicate to the nurse that the client needs more teaching?

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