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Author Question: A client with gout has not responded to the usual medications. The primary health care provider ... (Read 21 times)

casperchen82

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on: Jul 23, 2018
A client with gout has not responded to the usual medications. The primary health care provider prescribes a pegloticase infusion. Based on the nurse's understanding of this drug, which nursing diagnosis would be most appropriate?
 
  A) Risk for Injury
  B) Acute Pain
  C) Impaired Comfort: Gastric Distress
  D) Risk for Allergic Response

Question 2

After teaching a group of nursing students about the various drugs used to treat musculoskeletal conditions, the instructor determines that the teaching was successful when the students identify which of the following as being used to treat osteoporosis?
 
  A) DMARDs
  B) Bone resorption inhibitors
  C) Skeletal muscle relaxants
  D) Uric acid inhibitors


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meltdown117

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Reply #1 on: Jul 23, 2018
Answer to Question 1

Ans: D
Feedback:
When first-line treatments for gout are not successful, sometimes drugs that are more toxic may be prescribed, such as the pegloticase infusion. During the infusion the patient is closely monitored for the development of adverse reactions, in particular anaphylaxis. Should an anaphylactic reaction occur, the infusion center staff members are prepared to start resuscitative measures as emergency personnel are notified.

Answer to Question 2

Ans: B
Feedback:
Bone resorption inhibitors are used to treat osteoporosis. Disease-modifying antirheumatic drugs (DMARDs) are used to treat rheumatoid arthritis. Uric acid inhibitors are used to treat gout. Skeletal muscle relaxants are used to alleviate muscle spasms and cramping.


casperchen82

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Reply #2 on: Jul 23, 2018
Thank you!


meltdown117

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Reply #3 on: Jul 23, 2018
Always glad to help...


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