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?

Antihistamines

NSAIDS

Salicylates

Glucocorticoids

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is A

Explanation

A. Acetaminophen is often the initial choice for managing osteoarthritis pain in older adults due to its lower risk of gastrointestinal and cardiovascular side effects.
B. Celecoxib and ibuprofen are NSAIDs that may be considered but are associated with a higher risk of side effects, especially in older adults.
C. Hyaluronic acid injections are typically considered if oral medications are not effective, and the patient has persistent symptoms.
D. Ibuprofen is an NSAID and is associated with increased risk of gastrointestinal bleeding and renal impairment hence is not considered as a first line management of osteoarthritis.

A. This medication will help my osteoarthritis too B. Colchicine does not help with long-term management. C. Colchicine will decrease formation of uric acid crystals. D. This medication should eliminate the swelling in 2 to 3 days.

Correct Answer is B

Explanation

A. Colchicine is specific for gout and does not treat osteoarthritis.
B. Colchicine works by reducing inflammation and pain during a gout flare-up, but it does not prevent future attacks or lower the level of uric acid in the blood. Therefore, it is not a long-term solution for gout.
C. Colchicine does not affect the formation of uric acid crystals, which are the cause of gout. It only reduces the inflammation caused by the crystals in the joints.
D. Colchicine may take several days to weeks to reduce the swelling and pain of a gout attack, depending on the severity and duration of the flare-up. It is not a fast- acting medication.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is collecting data from an older adult client who has a new diagnosis of osteoarthritis. Which of the following medications should the nurse anticipate the provider will initially prescribe to the client?

Correct Answer is A

Explanation

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?

Correct Answer is B

Explanation

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