An elderly client taking a nonsteroidal anti-inflammatory drug ...

[BrownTown3]

An elderly client taking a nonsteroidal anti-inflammatory drug (NSAID) for gout pain is admitted to the hospital with altered mental status. As the nurse reviews drug use, the client's condition is anticipated because of:
 
  a. naproxen. c. sulfinpyrazone.
  b. sulindac. d. indomethacin.

Question 2

A client with renal insufficiency is being treated with allopurinol and asks the nurse why the health care provider decided on allopurinol instead of probenecid, which his friend is on. The nurse's best reply is:
 
  a. Allopurinol is a better drug to use with your azathioprine.
  b. Allopurinol is less likely to make your kidney problems worse.
  c. You should ask the doctor about why one drug was chosen over the other.
  d. Just trust the doctor that this drug is better for you than probenecid.

[Kjones0604]

Answer to Question 1

ANS: D

Feedback
A Incorrect: CNS changes are not associated with naproxen, an NSAID.
B Incorrect: CNS changes are not associated with sulindac, an NSAID.
C Incorrect: CNS changes are not associated with sulfinpyrazone, a uricosuric agent.
D Correct: Indomethacin is an NSAID that can produce CNS symptoms in elderly clients.

Answer to Question 2

ANS: B

Feedback
A Incorrect: Allopurinol should be avoided, if azathioprine is being used.
B Correct: Allopurinol is less likely to result in renal toxicity than uricosuric agents like probenecid.
C Incorrect: The nurse should have the knowledge to answer the client's question.
D Incorrect: This is patronizing and does not answer the client's question.

[BrownTown3]

Thanks for the timely response, appreciate it

[raili21]

Excellent