A nurse is teaching a client who has a new prescription of allopurinol for the treatment of Gout. Which of the following is most important to include in the client teaching?.

"Take the medication on an empty stomach.”.

"Take aspirin in conjunction with this medication.”.

"Crush the medication before taking it.”.

"Drink 2 liters of fluid each day while taking the medication.”. .

Answer and Explanation

The Correct Answer is D

Choice A rationale:
While it’s generally recommended to take medication with food to prevent stomach upset, allopurinol does not need to be taken on an empty stomach.
Choice B rationale:
Aspirin can increase the risk of bleeding, and since allopurinol can occasionally cause blood disorders, it’s not recommended to take these two medications together without medical advice.
Choice C rationale:
Allopurinol tablets should not be crushed. They should be swallowed whole with a glass of water.
Choice D rationale:
Drinking plenty of fluids while taking allopurinol can help prevent the formation of kidney stones, a potential side effect of the medication.

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Correct Answer is C

Explanation

Choice A rationale:
The Sims position is not specifically recommended for easing discomfort after cholecystectomy.
Choice B rationale:
The right lateral position is not specifically recommended for easing discomfort after cholecystectomy.
Choice C rationale:
Deep breathing and coughing can help alleviate discomfort due to CO2 used during surgery by promoting the absorption and excretion of the gas.
Choice D rationale:
Placing the client in the prone position with the head of bed elevated is not specifically recommended for easing discomfort after cholecystectomy.

A. “I will elevate my legs by placing two pillows under my knees when I go to bed.”. B. “Ibuprofen is the first step in medication therapy for osteoarthritis.”. C. “I should limit physical activity to prevent further injury.”. D. “I can use either heat or ice to help relieve the discomfort.”.

Correct Answer is D

Explanation

Choice A rationale:
Elevating the legs can help reduce swelling, but placing pillows under the knees can potentially increase knee stiffness, which is not beneficial for osteoarthritis.
Choice B rationale:
While ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can help reduce pain and inflammation in osteoarthritis, it is not necessarily the first step in medication therapy. This can vary based on the individual’s condition and doctor’s recommendation.
Choice C rationale:
Physical activity is actually beneficial for osteoarthritis as it strengthens the muscles around the joints and improves joint flexibility. Limiting physical activity may lead to joint stiffness.
Choice D rationale:
Using heat or ice can help relieve discomfort caused by osteoarthritis. Heat can relax muscles and help lubricate the joint, and ice can help reduce joint swelling.

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A nurse is teaching a client who has a new prescription of allopurinol for the treatment of Gout. Which of the following is most important to include in the client teaching?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After a cholecystectomy, the client might experience discomfort due to CO2 used during surgery. Which intervention will help the client ease the discomfort?.

Correct Answer is C

Explanation

A nurse in a medical clinic is providing teaching to an older adult client who has osteoarthritis that is affecting her knees. Which of the following client statements indicates an understanding of the teaching?.

Correct Answer is D

Explanation

A client with systemic lupus has been ordered hydroxychloroquine. Which of the following adverse effects is of most concern?.

The nurse is preparing discharge teaching for a pregnant client who has been recently diagnosed with Osteoarthritis. Which of the following is most important to include in the patient teaching?.

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The nurse is assessing a client with osteoarthritis (OA) of the elbows and fingers. Which of the following clinical manifestations should the nurse expect to find?.

A client with Systemic lupus erythematosus (SLE) has been admitted into the Med-surgical unit. The nurse should recognize which of the following manifestations associated with lupus? (Select All that Apply.).

A nurse is providing teaching to a client diagnosed with fibromyalgia. Which of the following client statements indicates an understanding of the teaching?.

A nurse is preparing dietary instructions for a client who has cholecystitis from chronic cholelithiasis. Which diet is most important to include in the patient teaching?.

A nurse is caring for a female client with rheumatoid arthritis, the client asks the nurse if it is safe to take aspirin. The nurse should recognize which of the following contraindications is of most concern?.