Which are suitable nursing interventions for a patient who has ...

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Which are suitable nursing interventions for a patient who has gout?
 
  a. Nonsteroidal antiinflammatory drugs (NSAIDs) and glucosamine
  b. Liquid paraffin hand baths and disease-modifying antirheumatic drugs
  c. Colchicine (Colsalide) by mouth and methylprednisolone (Solu-Medrol) injections
  d. Hyaluronic acid injections and aspirin

Question 2

Which of the following is least likely to be true about caring for an elder patient who is African American?
 
  a. The patient can expect to find support from his church after discharge.
  b. During a physical assessment, examination of the interior of the patient's mouth with adequate light is important.
  c. The patient is likely to value extended family relationships and family-like rela-tionships with persons who may not actually be related.
  d. The patient may not desire preferential treatment afforded to African Americans.

[shayla]

Answer to Question 1

C

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A Incorrect. Glucosamine is used by some persons with osteoarthritis; NSAIDs can be used in pain management in all forms of arthritis.
B Incorrect. Liquid paraffin hand baths can be used to relieve pain in OA and RA, whereas disease-modifying antirheumatic drugs are used only in RA.
C Correct. Colchicine and injections of long-acting steroids directly into the af-fected joint are indicated in the treatment of an acute gout attack.
D Incorrect. Hyaluronic acid injections are used by some to relieve the pain of OA in the knee. Salicylates should not be used in gout because they can exacerbate an attack.

Answer to Question 2

A

Feedback
A Correct. Though the church is a source of support for many older African Americans, it should not be assumed at the expense of other forms of support.
B Incorrect. This statement is true because skin pigmentation can conceal some clinical signs such as cyanosis, which are more visible in the buccal cavity.
C Incorrect. This statement is true, though it should not be simply presumed to ap-ply.
D Incorrect. This statement is true; the patient may prefer to be regarded simply as an American or simply as a human being.