Patient Data
For each medication used to treat gout, choose the most likely therapeutic outcome and the teaching associated with the medication.
Colchicine
Naproxen
Prednisone
Allopurinol
The Correct Answer is {"A":{"answers":"A, E"},"B":{"answers":"C, E"},"C":{"answers":"C, E"},"D":{"answers":"D, G"}}
Colchicine is used in severe acute gout attack to minimize pain at the joint. Colchicine's mechanism of action involves interfering with the inflammatory process by binding to tubulin, a protein essential for the formation of microtubules within cells.
Prednisone is a corticosteroid with anti-inflammatory properties. It reduces inflammation caused by urate crystals.
Naproxen is a nonsteroidal anti-inflammatory drug (NSAID). It interferes with the inflammatory process in gout reducing pain. The use of naproxen and prednisone with alcohol reduces their effectiveness leading to suboptimal pain relief.
Allopurinol is a lipid lowering agent. It prevents the formation of uric acid lowering the deposition of urate crystals at the joint(s). Missing a dose of allopurinol leads to subtherapeutic blood levels and increased risk of acute gout attacks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C A random plasma glucose level of 200 mg/dL (11.1 mmol/L) is indicative of hyperglycemia and suggests possible diabetes mellitus. This finding is significant and should be reported promptly to the healthcare provider for further evaluation and management.
D Hemoglobin A1C (HbA1C) is a measure of average blood glucose levels over the past 2-3 months. A level of 7% indicates poorly controlled diabetes, as the target for most individuals with diabetes is less than 7%. This finding suggests inadequate glycemic control and requires attention from the healthcare provider for adjustment of treatment regimen.
A While total cholesterol levels are important for assessing cardiovascular risk, a value of 180 mg/dL is within the desirable range (less than 200 mg/dL) and is not directly related to the symptoms reported by the client.
B Hematocrit levels within the reference range do not directly relate to the symptoms reported by the client and are not indicative of the underlying cause of frequent urination, hunger, and great thirst.
E While serum potassium levels are important for assessing electrolyte balance, a value of 4.2 mEq/L is within the normal reference range (3.5 to 5 mEq/L) and is not directly related to the symptoms reported by the client.
Correct Answer is D
Explanation
D Methotrexate is a disease-modifying antirheumatic drug (DMARD) commonly used in the treatment of RA to slow down the progression of joint damage and reduce inflammation. Aspirin, on the other hand, is often used to manage symptoms such as pain and inflammation. Combining these two medications addresses both the underlying disease process and symptom control, respectively, in the management of RA
A While both methotrexate and aspirin have potential side effects, they affect different aspects of rheumatoid arthritis treatment. Methotrexate is primarily used to slow disease progression, while aspirin is used for symptom management.
B Methotrexate and aspirin do not directly interact to reduce each other's side effects.
C While both methotrexate and aspirin have their own roles in the treatment of rheumatoid arthritis, there is no evidence to suggest that methotrexate enhances the effectiveness of aspirin. They work through different mechanisms and target different aspects of RA management.
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