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 B

Explanation

A. There is no need for change of antibiotic as there is no cross-rectivity between macrolides and penicillins.
B. Given the client's severe allergy to penicillin, it would be safe to administer erythromycin, a macrolide, as there is no risk of cross-reactivity.
C. Diphenhydramine is an antihistamine commonly used to treat allergic reactions, but premedicating the client with diphenhydramine is not necessary.
D. Changing the route of administration would not alter the risk of an allergic reaction.

A. Your child will receive another MMR immunization at 4 to 6 years of age. B. "Your child will receive two more MMR immunizations over the next 2 years." C. "Your child will receive another MMR immunization and the hepatitis B immunization at 3 years of age D. "Your child will have an MMR titer taken to determine the need for further immunizations.

Correct Answer is A

Explanation

A. According to the recommended immunization schedule, the second dose of the MMR vaccine is typically administered at 4 to 6 years of age, before starting school. This booster dose helps ensure long- term immunity against measles, mumps, and rubella.
B. The MMR vaccine is typically administered in two doses: the first dose at 12 to 15 months of age and the second dose at 4 to 6 years of age. There is no need for additional MMR immunizations over the next 2 years if the child receives the recommended doses.
C. While the child may receive additional immunizations at 3 years of age, such as the hepatitis B vaccine, the second dose of the MMR vaccine is typically administered at 4 to 6 years of age, not 3 years.
D. Titer testing is typically not recommended for determining the need for further MMR immunizations in young children. The immunization schedule provides specific recommendations for MMR vaccine doses based on age, rather than individual titers.

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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 preparing to administer erythromycin PO to a client who has an infection. The nurse checks the client's medical record and notes that the client has a severe allergy to penicillin. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with the parents of a 13-month-old child following administration of the measles, mumps, and rubella (MMR) immunization. Which of the following statements by the nurse is appropriate?

Correct Answer is A

Explanation

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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?

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