A client who is suffering from an acute gout attack wants to know how colchicine differs from probenecid and allopurinol in its actions. Which of these statements shows the need for further teaching regarding the purpose and use of these medications?
Allopurinol prevents the synthesis of uric acid.
All of these medications should be taken concurrently during an acute attack, and non-steroidal anti-inflammatory drugs (NSAIDs) should be added for pain control.
Colchicine reduces inflammation caused by uric acid.
Probenecid facilitates the elimination of uric acid in the nephrons.
The Correct Answer is B
A) Allopurinol inhibits the synthesis of uric acid, preventing its formation.
B) Colchicine is typically used for gout flares and reduces inflammation but is not usually taken concurrently with probenecid and allopurinol. NSAIDs or corticosteroids are often used for pain control during acute attacks.
C) Colchicine is known for its anti-inflammatory properties but does not prevent uric acid synthesis or facilitate its elimination.
D) Probenecid increases the excretion of uric acid in the urine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) The symptoms described are indicative of hypoglycemia, and addressing the client's emotional state or offering to listen does not address the immediate medical issue.
b) Checking the blood glucose level is crucial to determine if the symptoms are due to hypoglycemia, and providing carbohydrates can help raise the blood sugar level promptly.
c) Assuming a panic attack without assessing the potential hypoglycemic state could delay appropriate intervention.
d) The symptoms described are not consistent with an allergic reaction, so giving diphenhydramine is not the appropriate response.
Correct Answer is ["A","D"]
Explanation
A) Unreadable prescriptions can lead to medication errors, so clear and legible prescriptions are essential.
B) Using barcode scanning can help prevent errors by verifying the client's identity and ensuring the right medication is administered.
C) Complicated drug names that look or sound alike can contribute to errors, making it important to use caution and double-check.
D) Confusing drugs with similar packaging is a preventable cause of errors, and efforts should be made to differentiate packaging.
E) Administration route errors, like giving a drug intravenously instead of intramuscularly, are preventable through proper verification and adherence to procedures.
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