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.
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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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. Limiting the number of health care workers entering the room helps reduce the risk of exposure to infections.
B. Inserting an indwelling catheter is not a routine intervention for immunosuppressed clients and may increase the risk of infection.
C. Monitoring temperature more frequently than once per shift is crucial to detect early signs of infection in immunosuppressed clients.
D. Fresh fruit may carry a risk of bacterial contamination, and caution should be exercised in providing it to immunosuppressed clients.
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