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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Antihistamines are not typically contraindicated in gout.
B. Nonsteroidal anti-inflammatory drugs (NSAIDs) do not affect uric acid levels and can be used to treat gout flare-ups.
C. Salicylates are a type of medication that can increase the level of uric acid in the blood, which can worsen gout symptoms. Uric acid is a waste product that forms crystals in the joints, causing inflammation and pain.
D. Glucocorticoids may be used to manage acute gout attacks and are not necessarily contraindicated, but long-term use should be monitored.

A. Bradycardia B. Increased urine output C. Hypotension D. Hyperactive bowel sounds

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has gout. Which of the following medication classes should the nurse instruct the client to avoid?

Correct Answer is C

Explanation

A nurse is caring for a client who is at risk for shock. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is reinforcing discharge teaching to a client about nutrition therapy for wound healing following major surgery. Which of the following vitamins should the nurse include in the teaching as promoting wound healing? (Select all that apply.)

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