A nurse is caring for a client who is taking allopurinol. Which of the following laboratory findings indicates the medication has been effective?

Decreased triglycerides

Decreased uric acid

Increased albumin

Increased potassium

Answer and Explanation

The Correct Answer is B

B. Allopurinol is primarily prescribed to lower uric acid levels in the blood. It achieves this by inhibiting the enzyme xanthine oxidase, which is involved in the production of uric acid. Lowering uric acid levels helps prevent the formation of uric acid crystals, which can lead to gout attacks or kidney stones.
A. Triglycerides are a type of fat found in the blood. Allopurinol is not directly involved in lowering triglyceride levels. Medications that are typically used to lower triglycerides include statins, fibrates, niacin, and omega-3 fatty acids.
C. Albumin is a protein found in the blood, and its levels can be affected by various factors such as liver or kidney function. Allopurinol is not known to directly influence albumin levels. Therefore, an increase in albumin would not be a laboratory finding indicative of the effectiveness of allopurinol.
D. Potassium levels in the blood can be influenced by medications, diet, kidney function, and other factors. Allopurinol is not typically associated with increasing potassium levels. In fact, certain medications used to treat gout, such as thiazide diuretics, can lead to increased potassium levels.

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Correct Answer is ["A","B","C"]

Explanation

Albuterol belongs to a class of medications known as beta-adrenergic agonists, specifically beta-2 selective agonists. When inhaled, albuterol binds to beta-2 adrenergic receptors located on the smooth muscle cells lining the airways in the lungs. Activation of these receptors leads to relaxation of the smooth muscles surrounding the bronchial tubes, causing them to widen (bronchodilation). By dilating the airways, albuterol helps to reduce airway resistance and increase airflow into and out of the lungs, making it easier to breathe during an asthma attack.

One should hold breath for 5 to 10 seconds after inhalation of the puff.

Salmeterol is a long-acting beta-adrenergic agonist (LABA) bronchodilator commonly used for the maintenance treatment of asthma and chronic obstructive pulmonary disease (COPD). Salmeterol is usually prescribed for twice-daily dosing.

One should wait for 2 minutes between two puffs.

Fluticasone is a corticosteroid medication that is inhaled into the lungs to reduce inflammation in the airways. If these particles remain in the mouth, they can increase the risk of developing oral thrush, which is a fungal infection caused by Candida albicans. Rinsing the mouth with water after using the inhaler helps to remove any residual medication particles, reducing the risk of oral thrush.

A. Sulfonamide allergy B. Penicillin allergy C. Concurrent use of chondroitin D. Concurrent use of calcium supplements

Correct Answer is A

Explanation

A. Celecoxib is contraindicated in individuals with a history of hypersensitivity reactions, including anaphylaxis, angioedema, or urticaria, to sulfonamides. Sulfonamide antibiotics are structurally related to sulfonamide nonantibiotics, including celecoxib, and cross-sensitivity reactions may occur in some individuals.
B. Penicillin allergy is not a contraindication for celecoxib. There is no cross-reactivity between penicillin antibiotics and celecoxib, as they are different classes of medications.
C. Concurrent use of chondroitin is not a contraindication for celecoxib. Chondroitin is a dietary supplement commonly used for joint health, and there are no known interactions or contraindications between chondroitin and celecoxib.
D. Concurrent use of calcium supplements is not a contraindication for celecoxib. There are no known interactions between calcium supplements and celecoxib, and they can be safely used together if indicated.

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A nurse is caring for a client who is taking allopurinol. Which of the following laboratory findings indicates the medication has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C"]

Explanation

A nurse is reviewing the medical record of a client who has a new prescription for celecoxib to treat osteoarthritis. Which of the following should the nurse recognize as a contraindication for this medication?

Correct Answer is A

Explanation

A nurse is caring for a client who is receiving treatment for chronic alcohol use disorder. Which of the following medications should the nurse plan to administer to assist the client in maintaining abstinence by aversion therapy?

A nurse is collecting data from a client who is taking sumatriptan. Which of the following reports indicates a therapeutic response to the medication?

A nurse is caring for a client who is taking allopurinol. Which of the following laboratory findings indicates the medication has been effective?

A nurse working in an urgent care clinic is collecting data from a client who takes montelukast. Which of the following is an expected therapeutic effect of this medication?

A nurse is collecting data from a client who has taken an overdose of oxycodone. Which of the following findings should the nurse expect?

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