« previous next »

Author Question: The nurse is planning care for a patient with hypertension and gout who has a red and painful right ... (Read 59 times)

pane00

  • Hero Member
  • *****
  • Posts: 579
on: Jun 25, 2018
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

  • Sr. Member
  • ****
  • Posts: 323
Reply #1 on: Jun 25, 2018
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.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

In 1844, Charles Goodyear obtained the first patent for a rubber condom.

Did you know?

Blastomycosis is often misdiagnosed, resulting in tragic outcomes. It is caused by a fungus living in moist soil, in wooded areas of the United States and Canada. If inhaled, the fungus can cause mild breathing problems that may worsen and cause serious illness and even death.

Did you know?

In the ancient and medieval periods, dysentery killed about ? of all babies before they reach 12 months of age. The disease was transferred through contaminated drinking water, because there was no way to adequately dispose of sewage, which contaminated the water.

Did you know?

Approximately one in four people diagnosed with diabetes will develop foot problems. Of these, about one-third will require lower extremity amputation.

Did you know?

Your skin wrinkles if you stay in the bathtub a long time because the outermost layer of skin (which consists of dead keratin) swells when it absorbs water. It is tightly attached to the skin below it, so it compensates for the increased area by wrinkling. This happens to the hands and feet because they have the thickest layer of dead keratin cells.

Bronchoscopy. Figure illustrates physician using a bronchoscope to inspect the patient’s bronchial t Bronchoscopy. Figure illustrates physician using a bronchoscope to inspect the patient’s bronchial t
Vapocoolant spray application while passively stretching the paracervical muscles. Take care to prot Vapocoolant spray application while passively stretching the paracervical muscles. Take care to prot
Medical assistants can quickly pull up a patient record when a phone call is received. Medical assistants can quickly pull up a patient record when a phone call is received.
The nurse conveys attentive listening through a posture of involvement The nurse conveys attentive listening through a posture of involvement
Emergency Care Emergency Care
Injuries That Benefit from Burn Center Care Injuries That Benefit from Burn Center Care
Video: Oxygen transport - methods and oxyhemoglobin

For a complete list of videos, visit our video library