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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I understand what you mean, you can never be sure if the blood is tainted." This response would be inappropriate as it may increase the patient's anxiety and perpetuate fear about the transfusion. It does not provide accurate information about the safety of blood transfusions.
B. "I understand your concern. The blood is screened very carefully for different viruses as well as HIV." This response acknowledges the patient's concern while providing accurate and reassuring information. Blood donations are rigorously screened for HIV and other infectious diseases to ensure safety.
C. "If you don't have the blood transfusions, you may not make it through this episode of bleeding." While this statement is true, it focuses on the negative consequence without addressing the patient's fear. It also lacks a supportive and informative approach to the patient's concern about HIV.
D. "No one has gotten HIV from blood in a long time. You have to have the transfusion." This is dismissive and does not adequately address the patient's concern or provide accurate information about the safety measures in place for blood transfusions. It also pressures the patient into a decision without educating them.
Correct Answer is ["3"]
Explanation
Desired dose = 30 mg.
Available strength of each tablet = 10 mg/tablet.
Calculate the number of tablets to administer.
Number of tablets = Desired dose (mg) / Available strength (mg/tablet)
= 30 mg / 10 mg/tablet
= 3 tablets.
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