A home health nurse reinforces instructions to a client who is taking allopurinol for the treatment of gout. The nurse provides which client instructions?
Place an ice pack on the lips if they swell.
Use an over-the-counter (OTC) antihistamine lotion if a rash develops.
Drink at least 8 glasses of fluid every day.
Take the medication on an empty stomach 2 hours before meals.
The Correct Answer is C
Choice A Reason: Placing an ice pack on the lips if they swell is not an appropriate instruction for a client who is taking allopurinol, as it may indicate an allergic reaction or angioedema, which requires immediate medical attention.
Choice B Reason: Using an OTC antihistamine lotion if a rash develops is not an appropriate instruction for a client who is taking allopurinol, as it may indicate a serious skin reaction such as Stevens-Johnson syndrome or toxic epidermal necrolysis, which requires immediate medical attention.
Choice C Reason: Drinking at least 8 glasses of fluid every day is an appropriate instruction for a client who is taking allopurinol, as it helps to prevent kidney stones and flush out uric acid from the body.
Choice D Reason: Taking the medication on an empty stomach 2 hours before meals is not an appropriate instruction for a client who is taking allopurinol, as it may cause stomach upset or nausea. The medication should be taken after meals with plenty of water.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason: Urine output 800 mL/hr is a sign of diabetes insipidus, as it indicates that the kidneys are producing large amounts of diluted urine due to the lack of antidiuretic hormone (ADH) or its action.
Choice B Reason: Blood glucose 198 mg/dL is not a sign of diabetes insipidus, but it may indicate diabetes mellitus or hyperglycemia.
Choice C Reason: Serum sodium 145 mEq/L is not a sign of diabetes insipidus, but it is within the normal range (135-145 mEq/L).
Choice D Reason: Urine specific gravity 1.028 is not a sign of diabetes insipidus, but it indicates concentrated urine due to dehydration or other causes.
Correct Answer is C
Explanation
Choice A Reason: Drinking white wine, not red, is not an indication that the client understands the instructions, as both types of wine are high in purine and may trigger gout attacks.
Choice B Reason: Limiting the number of fruit servings I eat each day is not an indication that the client understands the instructions, as most fruits are low in purine and may help to lower uric acid levels.
Choice C Reason: Avoiding eating organ meats is an indication that the client understands the instructions, as organ meats are very high in purine and may increase uric acid levels and cause gout flare-ups.
Choice D Reason: Choosing red meat instead of poultry is not an indication that the client understands the instructions, as both red meat and poultry are high in purine and may worsen gout symptoms.
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