The nurse is caring for a patient with a history of gout who presents to the clinic with right foot pain (see image below). Which of the following medications is used in the management of an acute gout attack?
Uricosuric
Febuxostat
Colchicine
Allopurinol
The Correct Answer is C
A. Uricosuric: Uricosuric agents, such as probenecid, increase uric acid excretion and are used for long-term management of hyperuricemia, not for acute gout attacks. They do not provide immediate pain relief during flare-ups.
B. Febuxostat: Febuxostat is a xanthine oxidase inhibitor used to lower uric acid levels over time. It is indicated for chronic gout management but is not used to treat acute flares.
C. Colchicine: Colchicine is effective for acute gout attacks because it reduces inflammation and pain by inhibiting neutrophil activity in affected joints. It provides rapid symptom relief during flare-ups.
D. Allopurinol: Allopurinol is a xanthine oxidase inhibitor that prevents uric acid formation and is used for long-term gout management. It does not treat the inflammation or pain of an acute attack.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Epigastric discomfort: Epigastric pain is a common symptom of peptic ulcer disease and can usually be managed with medication and lifestyle modifications. While important, it is not immediately life-threatening.
B. Dyspepsia: Dyspepsia, or indigestion, is a chronic symptom associated with ulcer disease. It causes discomfort but does not indicate an acute or emergent complication.
C. Constipation: Constipation may occur due to medications or diet, but it is not directly related to peptic ulcer disease and is not a priority finding.
D. Hematemesis: Vomiting blood indicates active gastrointestinal bleeding, which is a potentially life-threatening complication of peptic ulcer disease. Immediate assessment and intervention are required to prevent shock and further complications, making this the priority finding.
Correct Answer is B
Explanation
A. Provide high-calorie snacks: Clients with Parkinson’s disease may have increased caloric needs due to tremors and rigidity, but nutritional support does not address the immediate safety risks posed by impaired mobility. Caloric intake is important for long-term management rather than urgent intervention.
B. Implement fall precautions: Shuffling gait and bradykinesia significantly impair balance and increase the risk of falls. Masklike facies may also limit protective reflexes and environmental awareness. Preventing injury through fall precautions is the highest priority based on the client’s current motor findings.
C. Encourage fluid intake: Adequate hydration supports overall health and may help reduce constipation or orthostatic hypotension. However, fluid intake does not directly mitigate the immediate risk of falls associated with gait instability. It is a supportive, not priority, intervention.
D. Encourage social interaction: Social engagement can help address depression and isolation common in Parkinson’s disease. While important for psychosocial well-being, it does not address the acute physical safety concerns identified during the assessment.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today