A nurse is reinforcing teaching with a client who is about to start taking allopurinol to treat gout. Which of the following statements by the client indicates an understanding of the teaching?

"I will expect to develop a fever while taking this medicine."

I should take the medicine on an empty stomach."

"If I get a rash. I will take my usual antihistamine."

"I need to drink at least 3 quarts of water a day.

Answer and Explanation

The Correct Answer is D

A.   Fever is not a common side effect of allopurinol.
B.   Allopurinol is usually taken with food to minimize gastrointestinal upset.
C.   If a rash develops, the client should stop taking allopurinol and notify their healthcare provider rather than self-medicating with an antihistamine.
D.   Drinking an adequate amount of water helps prevent kidney stones, a potential side effect of allopurinol.

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Correct Answer is B

Explanation

A. A client who has a sprained left ankle is typically categorized as a lower priority in triage.
B. A client who has an open traumatic brain injury and agonal breaths should be assigned a red tag and indicates immediate or emergent care; this client requires immediate attention.
C. A client who has sustained a partial amputation of the right leg requires urgent care but may not be as immediately life-threatening as option B.
D. A client who is deceased typically does not receive further medical intervention in a mass casualty situation.
E. While serious, the severity may not necessitate immediate intervention compared to option B.
F. This is typically categorized as a lower priority in triage.

A. Lactated Ringer’s B. Dextrose 5% in water C. 0.9% sodium chloride D. Dextrose 5% in 0.9% sodium chloride

Correct Answer is A

Explanation

A. Lactated Ringer’s is the preferred fluid for fluid resuscitation in the first 24 hours after a burn injury as it helps replace lost fluids and electrolytes.
B. Dextrose 5% in water is not the primary fluid for burn resuscitation.
C. 0.9% sodium chloride may be used, but Lactated Ringer’s is often preferred.
D. Dextrose 5% in 0.9% sodium chloride is not the primary fluid for burn resuscitation.

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A nurse is reinforcing teaching with a client who is about to start taking allopurinol to treat gout. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in performing triage on several clients following a mass casualty event. The nurse should assign a red tag to which of the following clients?

Correct Answer is B

Explanation

A nurse is monitoring the fluid replacement of a client who has sustained burns. Which of the following fluids should the nurse use in the first 24 hr following a client’s burn injury?

Correct Answer is A

Explanation

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