A client with gout complains of excruciating joint pain.
The client is allergic to NSAIDs and corticosteroids are contraindicated.
Which medication would be an appropriate alternative for pain relief in this client?
Acetaminophen.
Aspirin.
Ibuprofen.
Naproxen.
The Correct Answer is A
Choice A rationale:
"Acetaminophen" is the appropriate alternative for pain relief in a client with gout who is allergic to NSAIDs and cannot take corticosteroids.
Acetaminophen is a non-prescription pain reliever that can be used for pain management in gout and is not known to exacerbate gout symptoms.
Choice B rationale:
"Aspirin" is generally not recommended for gout pain relief because it may interfere with uric acid excretion and potentially worsen gout symptoms.
Choice C rationale:
"Ibuprofen" is an NSAID and may not be suitable for a client allergic to NSAIDs.
Choice D rationale:
"Naproxen" is also an NSAID and is not suitable for a client allergic to NSAIDs.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
"Advising the patient to limit alcohol consumption." This is the correct choice.
Alcohol consumption, particularly excessive consumption of beer and spirits, is associated with an increased risk of gout attacks.
Advising the patient to limit alcohol intake is an appropriate nursing action for gout prevention.
Choice B rationale:
"Encouraging a diet high in purine-rich foods." This choice is incorrect.
Encouraging a diet high in purine-rich foods is not appropriate for gout prevention.
High purine intake can lead to elevated uric acid levels, increasing the risk of gout attacks.
Choice C rationale:
"Recommending a sedentary lifestyle." This choice is incorrect.
Recommending a sedentary lifestyle is not appropriate for gout prevention.
Physical activity and maintaining a healthy weight are essential components of gout management and prevention.
Choice D rationale:
"Discouraging medication adherence for uric acid control." This choice is incorrect.
Discouraging medication adherence for uric acid control is counterproductive to gout prevention and management.
Medications prescribed to lower uric acid levels are a critical part of preventing gout attacks and complications.
Questions
Correct Answer is D
Explanation
Choice A rationale:
"Chronic gouty arthritis." Chronic gouty arthritis is a potential complication of gout, but it is not the highest priority when discussing potential risks with the client.
Kidney stones and kidney damage (nephrolithiasis) are more concerning complications due to their impact on overall health.
Choice B rationale:
"Tophi formation in joints and soft tissues." Tophi formation is a complication of gout and can lead to joint deformities and limited mobility.
While it is important to address, kidney stones and kidney damage pose a more immediate and severe threat to the client's well-being.
Choice C rationale:
"Joint deformities and limited mobility." This is a valid concern, but kidney stones and kidney damage (nephrolithiasis) should be prioritized when discussing potential complications of gout because they can have more serious systemic consequences.
Choice D rationale:
"Kidney stones or kidney damage (nephrolithiasis)." This is the correct choice.
Kidney stones and kidney damage can result from the deposition of urate crystals in the kidneys, which is a complication of gout.
These complications can lead to significant health issues and should be prioritized in discussions with the client.
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