Author Question: The client with a new medication prescription for allopurinol (Zyloprim) asks the nurse, I know this ... (Read 130 times)

roselinechinyere27m · **on:** Jul 22, 2018

The client with a new medication prescription for allopurinol (Zyloprim) asks the nurse, I know this is for gout, but how does it work? In formulating a response, the nurse understands that allopurinol:

1. Decreases uric acid production
2. Reduces the production of fibrinogen
3. Lowers the risk of sulfa crystal formation in the urine
4. Prevents influx of calcium ions during cell depolarization

Question 2

The nurse is assigned to assist in caring for a client who recently returned from the operating room (OR).

On data collection, the nurse notes that the client's vital signs are blood pressure (BP), 118/70 mm Hg; pulse, 91 beats/min; and respirations, 16 breaths/min. Preoperative vital signs were BP, 132/88 mm Hg; pulse, 74 beats/min; and respirations, 20 breaths/min. Which of the following actions should the nurse plan to take first? 1. Shake the client gently to arouse.
2. Call the surgeon immediately.
3. Cover the client with a warm blanket.
4. Recheck the vital signs in 15 minutes.

mohan · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1

Rationale: Allopurinol (Zyloprim) is classified as an antigout medication. It decreases uric acid production by inhibiting the xanthine oxidase enzyme and reduces uric acid concentrations in both serum and urine. The other options are incorrect.

Answer to Question 2

4

Rationale: A drop in blood pressure slightly below a client's preoperative baseline reading is common after surgery. The nurse should recheck the vital signs. Warm blankets are applied to maintain the client's body temperature. Level of consciousness can be assessed by the evaluation of the client's response to light touch and verbal stimuli. It is not necessary to contact the surgeon immediately.