A nurse is teaching a client who has gout about medications. The nurse should teach the client to avoid the use of which of the following types of medication?
NSAIDs
Expectorants
Salicylates
Antihistamines
The Correct Answer is C
A. NSAIDs: Nonsteroidal anti-inflammatory drugs are often used to treat acute gout flare-ups because they help reduce inflammation and relieve pain. They are not contraindicated in gout and can be part of the recommended management plan.
B. Expectorants: These medications help loosen mucus in the respiratory tract and have no known effect on uric acid levels or gout symptoms. They are not a concern for clients with gout.
C. Salicylates: Medications containing salicylates, such as aspirin, can interfere with uric acid excretion by the kidneys, potentially worsening gout symptoms or triggering flare-ups. Clients with gout are advised to avoid these drugs unless specifically prescribed for other medical reasons.
D. Antihistamines: These are used to treat allergic reactions and have no significant interaction with uric acid metabolism or gout. They are generally safe for individuals with this condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hypocalcemia: Advanced multiple myeloma causes hypercalcemia due to increased bone resorption from malignant plasma cell activity. Calcium is released into the bloodstream, so low calcium levels are not expected.
B. Hypotension: Hypotension is not a hallmark feature of multiple myeloma. While dehydration or sepsis can cause low blood pressure in some cases, it is not a typical or expected finding in the disease itself.
C. Ecchymoses: Clients with advanced multiple myeloma often experience impaired platelet function and bone marrow suppression, increasing the risk of bruising and bleeding. Ecchymoses are common due to reduced production of normal blood cells.
D. Polycythemia: Polycythemia refers to an elevated red blood cell count. In multiple myeloma, bone marrow is infiltrated by abnormal plasma cells, which suppress normal erythropoiesis, often leading to anemia, not increased RBCs.
Correct Answer is C
Explanation
A. Squamous cell carcinoma: Squamous cell carcinoma typically appears as a firm, scaly, red nodule or a flat lesion with a crusted surface. It is more likely to arise on sun-exposed areas and may ulcerate or bleed but does not usually have pearly borders.
B. Actinic keratosis: Actinic keratosis is a precancerous lesion that presents as rough, scaly patches on sun-exposed skin. It is often flat and feels gritty or sandpaper-like, lacking the raised, pearly characteristics seen in basal cell carcinoma.
C. Basal cell carcinoma: Basal cell carcinoma commonly presents as a raised, flesh-colored lesion with pearly or translucent borders and may have visible blood vessels. It is the most common and least aggressive form of skin cancer, often appearing on sun-exposed areas.
D. Malignant melanoma: Melanoma is usually characterized by asymmetrical lesions with irregular borders, multiple colors, and a diameter greater than 6 mm. It evolves over time and appears more pigmented than the flesh-colored lesion described here.
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