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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Seeking a second opinion suggests the client may be exploring different treatment options, indicating some level of hope for improvement.
B. Expressing plans to stop treatment may indicate frustration or dissatisfaction but does not necessarily reflect acceptance of the prognosis.
C. Expressing a desire for symptom relief (in this case, discomfort) is indicative of an understanding and acceptance of palliative care.
D. Stating that the treatment is making the client stronger every day may reflect a positive attitude but does not necessarily indicate acceptance of the prognosis.
Correct Answer is A
Explanation
A. Influenza vaccines are typically produced using eggs, and individuals with egg allergies may react to the vaccine. However, there are egg-free alternatives available, and consultation with an allergist is recommended in such cases.
B. Polio vaccines do not contain egg proteins and are safe for individuals with egg allergies.=
C. Hib vaccines are not contraindicated for individuals with egg allergies.
D. Hepatitis B vaccines do not contain egg proteins and are generally safe for individuals with egg allergies.
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