A patient with gout has been instructed on the prescribed medication allopurinol (Zyloprim). Which patient statement indicates understanding of the action of this medication?
It increases formation of purines.
It blocks formation of uric acid.
It increases metabolism of purines.
It excretes proteins.
The Correct Answer is B
A. It increases formation of purines: This is incorrect. Allopurinol works by inhibiting the enzyme xanthine oxidase, which is involved in the conversion of purines to uric acid. Therefore, it reduces, rather than increases, uric acid formation.
B. It blocks formation of uric acid: This is correct. Allopurinol decreases uric acid production by inhibiting the enzyme xanthine oxidase, which converts xanthine to uric acid, thus helping to prevent gout attacks and manage chronic gout.
C. It increases metabolism of purines: Allopurinol does not increase the metabolism of purines. Instead, it reduces the conversion of purines to uric acid, which is the substance that accumulates and causes gout.
D. It excretes proteins: Allopurinol does not facilitate the excretion of proteins. Its primary action is to reduce the production of uric acid.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. Consume a DASH diet.: The DASH (Dietary Approaches to Stop Hypertension) diet is effective in lowering blood pressure. It emphasizes fruits, vegetables, whole grains, and lean proteins.
B. Maintain a healthy weight.: Maintaining a healthy weight helps lower the workload on the heart and reduces blood pressure.
C. Increase moderate intensity aerobic exercise.: Regular aerobic exercise can help lower blood pressure and improve overall cardiovascular health.
D. Quit smoking.: Smoking cessation reduces the risk of hypertension and other cardiovascular diseases.
E. Increase alcohol consumption.: This is incorrect. Excessive alcohol intake can raise blood pressure and increase the risk of hypertension.
Correct Answer is B
Explanation
A. Increase the client's oral fluid intake.: While staying hydrated is generally good, it doesn't directly address the issue of cold feet caused by reduced circulation.
B. Obtain a pair of slipper socks for the client.: Slipper socks can help keep the feet warm without constricting blood flow, which is important for comfort and promoting circulation.
C. Rub the client's feet briskly for several minutes.: Vigorous rubbing could potentially cause injury or worsen circulation issues due to the fragility of the tissues in vascular compromise.
D. Place a moist heating pad under the client's feet.: Moist heat is not recommended as it can increase the risk of burns and injury, especially if the client has reduced sensation due to vascular occlusion.
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