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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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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