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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A Reason: Cold skin is not a common finding in hyperthyroidism, but it may indicate hypothyroidism or other conditions such as hypothermia or shock.

Choice B Reason: Weight gain is not a common finding in hyperthyroidism, but it may indicate hypothyroidism or other conditions such as Cushing's syndrome or edema.

Choice C Reason: Tachycardia is a common finding in hyperthyroidism, as the increased thyroid hormone level causes the heart rate and cardiac output to increase.

Choice D Reason: Anorexia is not a common finding in hyperthyroidism, but it may indicate other conditions such as depression, infection, or cancer.

A. N0 indicates presence of regional lymph node involvement. B. TIS indicates that a tumor has been resolved. C. T4 indicates a tumor at its smallest size. D. M1 indicates tumor metastasis to a single site.

Correct Answer is D

Explanation

Choice A Reason: N0 does not indicate presence of regional lymph node involvement, but absence of it. N1 to N3 indicate increasing degrees of regional lymph node involvement.

Choice B Reason: TIS does not indicate that a tumor has been resolved, but that it is in situ, meaning that it is confined to the original site and has not invaded deeper tissues.

Choice C Reason: T4 does not indicate a tumor at its smallest size, but at its largest size. T1 to T4 indicate increasing sizes or extents of the primary tumor.

Choice D Reason: M1 indicates tumor metastasis to a single site, meaning that the cancer has spread to another organ or distant lymph node. M0 indicates no distant metastasis.

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A home health nurse reinforces instructions to a client who is taking allopurinol for the treatment of gout. The nurse provides which client instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is completing a health assessment of a client suspected of hyperthyroidism. Which of the following clinical manifestations should the nurse expect?

Correct Answer is C

Explanation

A nurse is reinforcing teaching about TNM staging with a client who has cancer. Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is reinforcing teaching for a client about following a low-purine diet to manage gout. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

Which of the following clinical manifestations should a nurse expect from a client with hyperthyroidism? SELECT ALL THAT APPLY

When evaluating a client how to administer insulin, which action indicates that additional teaching is necessary?

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