The nurse is caring for a client with swelling to the distal phalanges, first big toe, and 10/10 pain. Which medication below would be administered for this client's acute gout?

allopurinol

febuxostat

colchicine

physostigmine

Answer and Explanation

The Correct Answer is C

A. Allopurinol is a xanthine oxidase inhibitor used for chronic gout management and prevention, not for acute attacks.
B. Febuxostat is also used for chronic management of gout and not effective for immediate relief of an acute attack.
C. Colchicine is indicated for the treatment of acute gout flares as it helps reduce inflammation and pain associated with gout attacks.
D. Physostigmine is an antidote for anticholinergic toxicity and has no role in treating gout.

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Correct Answer is D

Explanation

A. Diabetes Mellitus is not a contraindication for promethazine, although caution may be needed regarding metabolic control.
B. Chronic Kidney Disease does not specifically contraindicate the use of promethazine, but dosage adjustments may be necessary due to altered drug metabolism.
C. Iron Deficiency Anemia does not contraindicate the use of promethazine and would not raise significant concerns for its administration.
D. Narrow-Angle Glaucoma is a contraindication for promethazine due to its anticholinergic properties, which can increase intraocular pressure and worsen glaucoma.

A. Black-colored stools B. Orange-colored secretions C. Staining of teeth D. Constipation

Correct Answer is B

Explanation

A. Black-colored stools may indicate gastrointestinal bleeding, which is not a common side effect of rifampin.
B. Rifampin is known to cause orange-colored secretions, including urine, sweat, and tears, which is a normal and expected side effect.
C. Rifampin does not typically cause staining of teeth; this is more commonly associated with other medications like tetracyclines.
D. Constipation is not a recognized side effect of rifampin, and patients are not typically advised to expect this as a result of the medication.

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The nurse is caring for a client with swelling to the distal phalanges, first big toe, and 10/10 pain. Which medication below would be administered for this client's acute gout?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to administer promethazine (Phenergan) to a client who presents with acute vomiting. What information in the client's past medical history would alert the nurse to hold the medication?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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