The nurse is planning care for a patient with hypertension and ...

[pane00]

The nurse is planning care for a patient with hypertension and gout who has a red and painful right great toe. Which nursing action will be included in the plan of care?
 
  a. Gently palpate the toe to assess swelling.
  b. Use pillows to keep the right foot elevated.
  c. Use a footboard to hold bedding away from the toe.
  d. Teach patient to avoid use of acetaminophen (Tylenol).

Question 2

A 71-year-old patient who takes multiple medications develops acute gouty arthritis. The nurse will consult with the health care provider before giving the prescribed dose of
 
  a. sertraline (Zoloft).
  b. famotidine (Pepcid).
  c. oxycodone (Roxicodone).
  d. hydrochlorothiazide (HydroDIURIL).

[vseab]

Answer to Question 1

ANS: C
Because any touch on the area of inflammation may increase pain, bedding should be held away from the toe and touching the toe will be avoided. Elevation of the foot will not reduce the pain, which is caused by urate crystals. Acetaminophen can be used for pain relief.

Answer to Question 2

ANS: D
Diuretic use increases uric acid levels and can precipitate gout attacks. The other medications are safe to administer.