Author Question: A patient with an acute attack of gout in the right great toe has a new prescription for probenecid ... (Read 36 times)

robinn137 · **on:** Jun 25, 2018

A patient with an acute attack of gout in the right great toe has a new prescription for probenecid (Benemid). Which information about the patient's home routine indicates a need for teaching regarding gout management?

a. The patient sleeps about 8 to 10 hours every night.
b. The patient usually eats beef once or twice a week.
c. The patient takes one aspirin a day to prevent angina.
d. The patient usually drinks about 3 quarts water daily.

Question 2

Which result for a 30-year-old patient with systemic lupus erythematosus (SLE) is most important for the nurse to communicate to the health care provider?

a. Decreased C-reactive protein (CRP)
b. Elevated blood urea nitrogen (BUN)
c. Positive antinuclear antibodies (ANA)
d. Positive lupus erythematosus cell prep

chem1s3 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
Aspirin interferes with the effectiveness of probenecid and should not be taken when the patient is taking probenecid. The patient's sleep pattern will not affect gout management. Drinking 3 quarts of water and eating beef only once or twice a week are appropriate for the patient with gout.

Answer to Question 2

ANS: B
The elevated BUN and creatinine levels indicate possible lupus nephritis and a need for a change in therapy to avoid further renal damage. The positive lupus erythematosus (LE) cell prep and ANA would be expected in a patient with SLE. A drop in CRP shows an improvement in the inflammatory process.