A nurse is caring for a client who has diagnosed with chronic gout. Which of the following medications should the nurse prepare to administer?

Zolpidem

Alprazolam

Spironolactone

Allopurinol

Answer and Explanation

The Correct Answer is D

A. Zolpidem: Zolpidem is a medication used for short-term treatment of insomnia. It is not indicated for gout and does not address the underlying causes or symptoms of chronic gout. It is not an appropriate medication for this condition.

B. Alprazolam: Alprazolam is a benzodiazepine used for anxiety. It is not used to treat gout, which is a metabolic disorder related to high uric acid levels. This medication does not impact uric acid levels or manage gout symptoms.

C. Spironolactone: Spironolactone is a diuretic used for conditions like hypertension or edema. It is not appropriate for managing gout and can actually worsen the condition in some cases by increasing uric acid levels. It is not indicated for gout management.

D. Allopurinol: Allopurinol is a xanthine oxidase inhibitor that lowers uric acid levels in the blood, making it the appropriate medication for chronic gout. It helps prevent gout flare-ups by reducing the production of uric acid, addressing the root cause of the condition.

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Correct Answer is D

Explanation

A. Wound drainage: While monitoring wound drainage is important to assess for infection or complications, airway patency is the priority in the immediate postoperative period. Ensuring the airway is clear and secure is the first priority.

B. Tissue integrity: Tissue integrity is crucial for healing, but it is secondary to ensuring the airway is patent. If the airway is compromised, tissue integrity becomes less of a concern until the airway is stable.

C. Pain severity: Managing pain is essential, but pain assessment should not take precedence over ensuring that the airway is open and functional. Airway compromise can lead to life-threatening situations and needs immediate attention.

D. Airway patency: After a laryngectomy, ensuring the airway remains patent is the highest priority. Obstruction or difficulty breathing can lead to respiratory distress, which can be life-threatening in the immediate postoperative period.

A. Hypotension B. Vomiting C. Urticaria D. Stridor

Correct Answer is D

Explanation

A. Hypotension: While hypotension is a serious sign of anaphylaxis and requires intervention, it is not the immediate priority. Stridor, which indicates a compromised airway, takes precedence as it can lead to respiratory arrest if not addressed quickly.

B. Vomiting: Vomiting may occur during anaphylaxis, but it is not as life-threatening as airway compromise. It requires treatment but is secondary to managing the airway first to prevent more severe complications.

C. Urticaria: Urticaria (hives) is a common symptom of anaphylaxis, but it is not as critical as signs of airway obstruction. While it indicates an allergic reaction, stridor represents an immediate threat to the patient's ability to breathe.

D. Stridor: Stridor is a high-pitched, wheezing sound that indicates upper airway obstruction, which is the most immediate life-threatening concern in anaphylaxis. Prompt intervention is necessary to secure the airway and prevent respiratory failure.

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A nurse is caring for a client who has diagnosed with chronic gout. Which of the following medications should the nurse prepare to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in the immediate postoperative period following a partial laryngectomy. Which of the following parameters should the nurse assess first?

Correct Answer is D

Explanation

A nurse is assessing a client for a suspected anaphylactic reaction following a CT scan with contrast media. For which of the following client findings should the nurse intervene first?

Correct Answer is D

Explanation

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