The nurse who is caring for a client prescribed probenecid is ...

[CharlieWard]

The nurse who is caring for a client prescribed probenecid is experiencing symptoms of gout should encourage the client to:
 
  a. drink a glass of wine every evening.
  b. decrease fluid intake to maintain higher serum drug levels.
  c. use aspirin for additional pain relief during acute episodes.
  d. apply ice to the affected joint to relieve swelling.

Question 2

The nurse is teaching a client about gout medication treatment. Teaching should include:
 
  a. notify the health care provider immediately when symptoms of an acute attack begin.
  b. begin taking the medications for gout at the first sign of an attack.
  c. at the first sign of an attack, restrict sodium and fluid intake and notify the health care provider.
  d. when symptoms of an attack begin, lie down in a dorsal recumbent position.

[rnehls]

Answer to Question 1

ANS: D

Feedback
A Incorrect: Wine is a purine-rich beverage and should be avoided.
B Incorrect: Fluids should be increased, not decreased.
C Incorrect: Aspirin should not be used with probenecid.
D Correct: Applying ice may decrease the pain by controlling the swelling.

Answer to Question 2

ANS: B

Feedback
A Incorrect: Antigout medications should be started and the health care provider notified that the medications have been started.
B Correct: The first action the client should take at the first sign of an attack is to begin taking antigout medications.
C Incorrect: Fluid intake should be increased.
D Incorrect: Positioning with the feet elevated may help, but should not be the first reaction.

[CharlieWard]

TY

[rnehls]

You're welcome