A nurse is reinforcing teaching about colchicine with client who has gout. Which of the following statements by the client indicates understanding of the teaching?
This medication will help my osteoarthritis too
Colchicine does not help with long-term management.
Colchicine will decrease formation of uric acid crystals.
This medication should eliminate the swelling in 2 to 3 days.
The Correct Answer is D
A. Colchicine is not used to treat osteoarthritis; its therapeutic effect is specific to gout.
B. Colchicine can be used both for acute gout attacks and for prophylaxis in some cases, so saying it does not help with long-term management is inaccurate.
C. Colchicine does not reduce uric acid levels or crystal formation; instead, it works by decreasing the inflammatory response.
D. Colchicine reduces inflammation and swelling associated with an acute gout attack, and clients can expect symptom improvement within 2 to 3 days.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While discomfort can occur, it is not an expected or acceptable part of end-of-life care. Effective pain management is a key priority, and discomfort should be addressed promptly to ensure the client’s comfort and dignity.
B. While true, this statement does not directly address the expectation of discomfort at the end of life.
C. While pain can be present in older adults, the statement does not specifically address the end-of-life context.
D.Fear of addiction is a common concern among clients and families, even at the end of life. Nurses should educate clients and families about the importance of managing pain effectively and emphasize that addiction is not a concern when opioids are used appropriately for end-of-life care. This helps alleviate anxiety and encourages adherence to prescribed pain management regimens.
Correct Answer is C
Explanation
A. Shock typically results in tachycardia as the body compensates for decreased perfusion.
B. In shock, there is often decreased urine output due to decreased perfusion to the kidneys.
C. A hallmark sign of shock is low blood pressure as a result of inadequate tissue perfusion.
D. Bowel sounds may be diminished rather than hyperactive in cases of shock.
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