A nurse is reviewing the chart of an adult male client who has been taking oral androgens. Which assessment would warrant notifying the provider?

Jaundice

Acne

Increased libido

Increased facial hair

Answer and Explanation

The Correct Answer is A

a) Jaundice may indicate liver dysfunction, which can be a serious side effect of androgen use. It requires prompt notification of the healthcare provider.

b) Acne, increased libido, and increased facial hair are common side effects of androgens but may not be considered as urgent or concerning as jaundice.

c) Increased libido and increased facial hair are expected effects of androgens and may not require immediate notification.

d) Increased facial hair is an expected effect of androgens and may not warrant immediate provider notification unless there are other concerning symptoms.

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Correct Answer is B

Explanation

a) Avoiding alcohol and herbal remedies is a correct instruction because they can interact with warfarin and increase the risk of bleeding.

b) Stopping warfarin abruptly without healthcare provider guidance can be dangerous and increase the risk of thrombosis. Signs of bleeding should be reported promptly to the healthcare provider for appropriate management.

c) Being consistent with the intake of leafy greens is important to maintain a stable INR, as these foods contain vitamin K, which can interfere with warfarin.

d) Regular INR monitoring is essential to ensure that the client is within the therapeutic range and to make adjustments to the warfarin dosage if necessary.

A. Allopurinol prevents the synthesis of uric acid. B. All of these medications should be taken concurrently during an acute attack, and non-steroidal anti-inflammatory drugs (NSAIDs) should be added for pain control. C. Colchicine reduces inflammation caused by uric acid. D. Probenecid facilitates the elimination of uric acid in the nephrons.

Correct Answer is B

Explanation

A) Allopurinol inhibits the synthesis of uric acid, preventing its formation.

B) Colchicine is typically used for gout flares and reduces inflammation but is not usually taken concurrently with probenecid and allopurinol. NSAIDs or corticosteroids are often used for pain control during acute attacks.

C) Colchicine is known for its anti-inflammatory properties but does not prevent uric acid synthesis or facilitate its elimination.

D) Probenecid increases the excretion of uric acid in the urine.

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A nurse is reviewing the chart of an adult male client who has been taking oral androgens. Which assessment would warrant notifying the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing discharge teaching for a client who will be going home on warfarin. Which of these client statements indicates the need for further instruction?

Correct Answer is B

Explanation

A client who is suffering from an acute gout attack wants to know how colchicine differs from probenecid and allopurinol in its actions. Which of these statements shows the need for further teaching regarding the purpose and use of these medications?

Correct Answer is B

Explanation

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