An adolescent client is taking a leukotriene blocker. Which of these statements by the client requires the most immediate intervention?

I will take this medication to prevent asthma attacks.

I am still using my rescue inhaler twice a month.

This medication is messing with my sleep.

I want to die and know how to do it.

Answer and Explanation

The Correct Answer is D

a) Taking the medication to prevent asthma attacks is an appropriate use and does not require immediate intervention.

b) Using the rescue inhaler twice a month may indicate the need for further evaluation but does not pose an immediate threat.

c) Sleep disturbances are a known side effect of leukotriene blockers and may need attention, but it is not an urgent concern.

d) Expressing suicidal ideation and having a plan for self-harm is a critical situation that requires immediate intervention to ensure the client's safety and well-being.

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Correct Answer is B

Explanation

a) Levothyroxine is usually recommended to be taken 30 to 60 minutes before breakfast to enhance absorption, but this is not the answer indicated by the client's statement.

b) Taking levothyroxine at bedtime is another acceptable option and may be more convenient for some individuals. Both options (morning or bedtime) are valid.

c) Taking levothyroxine when feeling fatigued is not a specific guideline for medication administration.

d) Taking levothyroxine with an antacid may interfere with absorption and is not recommended.

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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An adolescent client is taking a leukotriene blocker. Which of these statements by the client requires the most immediate intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse reinforces instructions regarding when to take levothyroxine and determines teaching was effective when the client states the medication should be taken in which manner?

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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