« previous next »

Author Question: The nurse is assessing a patient who has gout who will begin taking allopurinol (Zyloprim). The ... (Read 91 times)

newyorker26

  • Hero Member
  • *****
  • Posts: 536
on: Jul 23, 2018
The nurse is assessing a patient who has gout who will begin taking allopurinol (Zyloprim). The nurse reviews the patient's medical record and will be concerned about which laboratory result?
 
  a. Elevated BUN and creatinine
  b. Increased serum uric acid
  c. Slight increase in the white blood count
  d. Increased serum glucose

Question 2

The nurse is caring for a patient who has been taking an NSAID for 4 weeks for osteoarthritis. The patient reports decreased pain, but the nurse notes continued swelling of the affected joints. The nurse will perform which action?
 
  a. Assess the patient for drug-seeking behaviors.
  b. Notify the provider that the drug is not effective.
  c. Reassure the patient that swelling will decrease eventually.
  d. Remind the patient that this drug is given for pain only.


anoriega3

  • Sr. Member
  • ****
  • Posts: 323
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Antigout drugs are excreted via the kidneys, so patients should have adequate renal function.

Answer to Question 2

ANS: B
This medication is effective for both pain and swelling. After 4 weeks, there should be some decrease in swelling, so the nurse should report that this medication is ineffective. There is no indication that this patient is seeking an opioid analgesic. The drug should be effective within several weeks. NSAIDs are given for pain and swelling.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

newyorker26

  • Hero Member
  • *****
  • Posts: 536
Reply #2 on: Jul 23, 2018
TY


anoriega3

  • Sr. Member
  • ****
  • Posts: 323
Reply #3 on: Jul 23, 2018
You're welcome


« previous next »
 

Did you know?

The liver is the only organ that has the ability to regenerate itself after certain types of damage. As much as 25% of the liver can be removed, and it will still regenerate back to its original shape and size. However, the liver cannot regenerate after severe damage caused by alcohol.

Did you know?

Stevens-Johnson syndrome and Toxic Epidermal Necrolysis syndrome are life-threatening reactions that can result in death. Complications include permanent blindness, dry-eye syndrome, lung damage, photophobia, asthma, chronic obstructive pulmonary disease, permanent loss of nail beds, scarring of mucous membranes, arthritis, and chronic fatigue syndrome. Many patients' pores scar shut, causing them to retain heat.

Did you know?

Once thought to have neurofibromatosis, Joseph Merrick (also known as "the elephant man") is now, in retrospect, thought by clinical experts to have had Proteus syndrome. This endocrine disease causes continued and abnormal growth of the bones, muscles, skin, and so on and can become completely debilitating with severe deformities occurring anywhere on the body.

Did you know?

The average older adult in the United States takes five prescription drugs per day. Half of these drugs contain a sedative. Alcohol should therefore be avoided by most senior citizens because of the dangerous interactions between alcohol and sedatives.

Did you know?

Increased intake of vitamin D has been shown to reduce fractures up to 25% in older people.

Palpating the thyroid gland from behind the patient is a most effective way of assessing the gland f Palpating the thyroid gland from behind the patient is a most effective way of assessing the gland f
Fundus of white pateint and black patient Fundus of white pateint and black patient
Patient health history form Cont. Patient health history form Cont.
Patient Teaching Methods Patient Teaching Methods
When the teacher about to switch the PowerPoint and you still not done taking notes When the teacher about to switch the PowerPoint and you still not done taking notes
Illustration of the anatomy of a normal subject (A) and a patient with sleep apnea (B) Illustration of the anatomy of a normal subject (A) and a patient with sleep apnea (B)
Video: Interspecific Competition Relationship - Competitive & Niche Differentiation

For a complete list of videos, visit our video library