A nurse is caring for a client with a new diagnosis of Paget's disease. The nurse anticipates the provider will prescribe which of the following medications for this client?
Colchicine
Alendronate
Prednisone
Allopurinol
The Correct Answer is B
Choice A rationale: Used primarily for gout and familial Mediterranean fever, not for Paget's disease.
Choice B rationale: Alendronate is a bisphosphonate commonly used to manage Paget's disease by slowing down bone breakdown and reducing the risk of complications.
Choice C rationale: Prednisone is a corticosteroid used for various inflammatory conditions but not typically prescribed for Paget's disease.
Choice D rationale: Used to lower uric acid levels and prevent gout attacks, not a primary medication for Paget's disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: The signs and symptoms of urinary catheter obstruction include hematuria with clots, bladder spasms, and a feeling of urinary urgency. The nurse should increase the rate of the continuous bladder irrigation to flush out the clots and relieve the obstruction. The nurse should also monitor the client's vital signs, fluid balance, and pain level. The other options are not consistent with the client's presentation.
Choice B rationale: Shock would cause hypotension, tachycardia, and decreased urine output.
Choice C rationale: Hyponatremia would cause confusion, weakness, and seizures.
Choice D rationale: Urinary tract infection would cause fever, chills, and foul-smelling urine.
Correct Answer is A
Explanation
Choice A rationale: These lab findings, particularly concentrated urine (high specific gravity) and hyponatremia, are consistent with SIADH, where excessive ADH secretion leads to water retention and dilutional hyponatremia.
Choice B rationale: While it can affect sodium levels, Cushing's syndrome typically results in hypernatremia or normal sodium levels rather than hyponatremia.
Choice C rationale: Usually presents with hyponatremia but not specifically with high urine specific gravity or hematocrit.
Choice D rationale: DI is associated with high serum sodium and low urine specific gravity due to excessive excretion of dilute urine.
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