A nurse is caring for a client who has developed gout. Which of the following medications should the nurse prepare to administer?
Alprazolam
Spironolactone
Zolpidem
Allopurinol
The Correct Answer is D
Gout is a type of arthritis caused by a build-up of uric acid crystals in the joints, leading to inflammation, pain, and swelling. Allopurinol is a medication used to treat gout by reducing the production of uric acid in the body. It works by inhibiting the enzyme xanthine oxidase, which is responsible for producing uric acid.
Option a, Alprazolam, is a medication used to treat anxiety and panic disorders. It is not used in the treatment of gout.
Option b, Spironolactone, is a medication used to treat high blood pressure, edema, and certain types of hormonal imbalances. It is not used in the treatment of gout.
Option c, Zolpidem, is a medication used to treat insomnia. It is not used in the treatment of gout.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Timolol maleate (Timoptic) is a beta-adrenergic blocking agent that reduces elevated intraocular pressure by decreasing the production of aqueous humour in the ciliary body of the eye.
Correct Answer is C
Explanation
The correct answer is choicec. Administer the medication under the client’s tongue.
Choice A rationale:
Administering the crushed medication through the NG tube is inappropriate because sublingual medications are designed to be absorbed through the tissues under the tongue, not the gastrointestinal tract. Crushing and administering it through the NG tube would alter its intended absorption and effectiveness.
Choice B rationale:
Dissolving the medication in water and giving it through the NG tube is also incorrect for the same reasons as Choice A. Sublingual medications are specifically formulated to be absorbed through the mucous membranes under the tongue, and changing the route of administration can affect the drug’s efficacy.
Choice C rationale:
Administering the medication under the client’s tongue is the correct action. Sublingual medications are designed to be absorbed directly into the bloodstream through the tissues under the tongue, bypassing the digestive system and providing rapid onset of action.
Choice D rationale:
While some medications can be safely switched to oral formulations for NG tube administration, such a change is only necessary when the prescribed route (in this case, sublingual) cannot be used. Without contraindications (e.g., inability to hold the medication under the tongue or mucosal issues), the original sublingual route should be followed.
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