A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching?

If I get a fever while taking this medication, I will take some aspirin.

I need to increase my ﬂuid intake while taking this medication.

I should take this medicine on an empty stomach.

If I get a rash from this medication, I will take my usual antihistamine.

Answer and Explanation

The Correct Answer is B

Allopurinol is a medication used to decrease levels of uric acid in people with gout, or kidney stones, or who are receiving certain types of chemotherapy1. Increasing ﬂuid intake while taking this medication can help prevent the formation of kidney stones.

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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.

A. The client’s family will also need to take medications to prevent infection. B. A typical course of treatment involves 6 to 9 months of consistent medication use. C. Medications will need to be taken until the Mantoux test is negative. D. Medications will need to be taken for the rest of the client’s life even if the client feels better.

Correct Answer is B

Explanation

Pulmonary tuberculosis (TB) is treated with a combination of antitubercular medications for a period of 6 to 9 months. It is important for the client to take their medications consistently and complete the full course of treatment to ensure that the infection is fully treated and to prevent the development of drug- resistant TB.

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A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A provider prescribes a sublingual medication for a client who has an NG tube in place. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of antitubercular medications. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for IV rifampin. The nurse should instruct the client that they should expect to experience which of the following manifestations while taking this medication?

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