A home health nurse reinforces instructions to a client who is taking allopurinol for the treatment of gout. The nurse provides which client instructions?
Place an ice pack on the lips if they swell.
Use an over-the-counter (OTC) antihistamine lotion if a rash develops.
Drink at least 8 glasses of fluid every day.
Take the medication on an empty stomach 2 hours before meals.
The Correct Answer is C
Choice A Reason: Placing an ice pack on the lips if they swell is not an appropriate instruction for a client who is taking allopurinol, as it may indicate an allergic reaction or angioedema, which requires immediate medical attention.
Choice B Reason: Using an OTC antihistamine lotion if a rash develops is not an appropriate instruction for a client who is taking allopurinol, as it may indicate a serious skin reaction such as Stevens-Johnson syndrome or toxic epidermal necrolysis, which requires immediate medical attention.
Choice C Reason: Drinking at least 8 glasses of fluid every day is an appropriate instruction for a client who is taking allopurinol, as it helps to prevent kidney stones and flush out uric acid from the body.
Choice D Reason: Taking the medication on an empty stomach 2 hours before meals is not an appropriate instruction for a client who is taking allopurinol, as it may cause stomach upset or nausea. The medication should be taken after meals with plenty of water.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason: Black cohosh is not an herbal supplement that can help prevent UTIs, but it may be used for menopausal symptoms such as hot flashes, night sweats, or mood swings.
Choice B Reason: Cranberry juice is an herbal supplement that can help prevent UTIs, as it may inhibit bacterial adhesion to the urinary tract and lower urine pH.
Choice C Reason: Saw palmetto is not an herbal supplement that can help prevent UTIs, but it may be used for benign prostatic hyperplasia (BPH) symptoms such as urinary frequency, urgency, or hesitancy.
Choice D Reason: Echinacea is not an herbal supplement that can help prevent UTIs, but it may be used for immune system support or wound healing.
Correct Answer is D
Explanation
Choice A Reason: Hypertension is not a common finding in diabetes insipidus, but it may indicate increased intracranial pressure or other complications.
Choice B Reason: Fluid retention is not a common finding in diabetes insipidus, but it may indicate syndrome of inappropriate antidiuretic hormone secretion (SIADH) or heart failure.
Choice C Reason: Elevated blood glucose is not a common finding in diabetes insipidus, but it may indicate diabetes mellitus or hyperglycemia.
Choice D Reason: Increased urine output is a common finding in diabetes insipidus, as the lack of antidiuretic hormone (ADH) causes the kidneys to excrete large amounts of diluted urine.
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