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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Itching can be a sign of an allergic reaction to amoxicillin-clavulanate. If a client develops itching while taking this medication, they should stop taking it and contact their healthcare provider immediately for further instructions.

A. A recent history of diarrhea for 3 days. B. Serum creatinine 0.8 mg/dL. C. Severe allergy to amoxicillin. D. A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq potassium chloride.

Correct Answer is C

Explanation

Cefoxitin is a cephalosporin antibiotic and can cause allergic reactions in people who are allergic to penicillin or other beta-lactam antibiotics like amoxicillin. Therefore, a severe allergy to amoxicillin is a contraindication for the client to receive cefoxitin, and the nurse should report this finding to the provider immediately.

A recent history of diarrhea for three days is not a contraindication for cefoxitin administration. However, the nurse should monitor the client for signs of diarrhea and report any worsening symptoms to the provider.

A serum creatinine level of 0.8 mg/dL is within the normal range and is not a contraindication for cefoxitin administration.

A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq potassium chloride is not a contraindication for cefoxitin administration. However, the nurse should assess the client's veins carefully before administering the medication and choose a diﬀerent site or route for administration if necessary.

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A nurse is caring for a client who has developed gout. Which of the following medications should the nurse prepare to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a new prescription for amoxicillin-clavulanate to treat pharyngitis. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is reviewing the medical record of a client who is to receive the first dose of cefoxitin, a cephalosporin via intermitent IV bolus Which of the following findings should the nurse Identify as a contraindication for the client to receive cefoxitin and report to the provider?

Correct Answer is C

Explanation

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