A nurse is caring for a client who is taking allopurinol. Which of the following laboratory findings indicates the medication has been effective?

Decreased triglycerides

Decreased uric acid

Increased albumin

Increased potassium

Answer and Explanation

The Correct Answer is B

B. Allopurinol is primarily prescribed to lower uric acid levels in the blood. It achieves this by inhibiting the enzyme xanthine oxidase, which is involved in the production of uric acid. Lowering uric acid levels helps prevent the formation of uric acid crystals, which can lead to gout attacks or kidney stones.
A. Triglycerides are a type of fat found in the blood. Allopurinol is not directly involved in lowering triglyceride levels. Medications that are typically used to lower triglycerides include statins, fibrates, niacin, and omega-3 fatty acids.
C. Albumin is a protein found in the blood, and its levels can be affected by various factors such as liver or kidney function. Allopurinol is not known to directly influence albumin levels. Therefore, an increase in albumin would not be a laboratory finding indicative of the effectiveness of allopurinol.
D. Potassium levels in the blood can be influenced by medications, diet, kidney function, and other factors. Allopurinol is not typically associated with increasing potassium levels. In fact, certain medications used to treat gout, such as thiazide diuretics, can lead to increased potassium levels.

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Correct Answer is C

Explanation

C. Carbamazepine is the drug of choice for managing trigeminal neuralgia pain. It is effective in reducing the frequency and severity of painful episodes associated with the condition.
A. Lorazepam is a benzodiazepine medication used to treat anxiety and certain seizure disorders. It is not typically used as a first-line treatment for trigeminal neuralgia pain.
B. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) antidepressant medication used to treat depression, anxiety disorders, and certain other conditions. It is not indicated for the management of trigeminal neuralgia pain.
D. Methylphenidate is a central nervous system stimulant medication commonly used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy. It is not indicated for the management of trigeminal neuralgia pain.

A. Validate the prescription with the available medication. B. Calculate the correct amount of the medication C. Document the time of the medication administration. D. Identify the client using two means of identification

Correct Answer is D

Explanation

D. Before administering any medication, the nurse should positively identify the client using at least two unique identifiers (e.g., name, date of birth, medical record number). Positive identification helps prevent medication errors and ensures that the medication is administered to the intended recipient.
A. Validating the prescription with the available medication is an important step to ensure that the correct medication is being administered. However, before doing so, it's essential to confirm the identity of the client and the correct time for administration.
B. Calculating the correct amount of medication is necessary to ensure that the client receives the appropriate dose. However, before performing this calculation, it's essential to confirm the identity of the client and the correct time for administration.
C. Documenting the time of medication administration is important for maintaining an accurate record of the client's medication administration history. However, before documenting, it's crucial to confirm the identity of the client and the correct time for administration.

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A nurse is caring for a client who is taking allopurinol. Which of the following laboratory findings indicates the medication has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to administer medications to a client who has trigeminal neuralgia. Which of the following medications should the nurse plan to administer to manage the client's pain?

Correct Answer is C

Explanation

A nurse is preparing to administer medication to a client who has a new prescription. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is planning to administer a tuberculin skin test to a client who has had an exposure to tuberculosis. Which of the following actions should the nurse plan to take?

A nurse is collecting data from a client who states she recently started taking garlic as an herbal supplement. The nurse should advise the client to stop taking garlic due to a potential reaction with which of the following client medications?

A nurse in an influenza clinic is collecting data from four clients. Which of the following clients should the nurse identify as having a contraindication for receiving the live attenuated form of the influenza vaccine?

A nurse is preparing to administer 0800 medications to a client. The medication administration record (MAR) states "phenobarbital" and the medication the pharmacy supplied is pentobarbital. Which of the following actions should the nurse take?

A nurse is reinforcing teaching with a client who has a prescription for sildenafil to treat erectile dysfunction. Which of the following statements by the client indicates an understanding of the teaching?

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A nurse is reinforcing teaching with a newly licensed nurse about age-related changes that affect medication administration for older adult clients. Which of the following information should the nurse include?