A nurse is reinforcing teaching with a client who has gout. Which of the following medication classes should the nurse instruct the client to avoid?

Antihistamines

NSAIDS

Salicylates

Glucocorticoids

Answer and Explanation

The Correct Answer is C

A.   Antihistamines are not typically contraindicated in gout.
B.   Nonsteroidal anti-inflammatory drugs (NSAIDs) do not affect uric acid levels and can be used to treat gout flare-ups.
C.   Salicylates are a type of medication that can increase the level of uric acid in the blood, which can worsen gout symptoms. Uric acid is a waste product that forms crystals in the joints, causing inflammation and pain.
D.   Glucocorticoids may be used to manage acute gout attacks and are not necessarily contraindicated, but long-term use should be monitored.

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Correct Answer is A

Explanation

A. Alcohol can contribute to increased levels of uric acid, exacerbating gout symptoms.
B. While citrus fruits are sometimes associated with gout, orange juice is generally not as problematic as alcohol.
C. Dairy products, including milk, do not typically exacerbate gout symptoms.
D. Moderate coffee consumption is generally considered safe for individuals with gout and may even have a protective effect.

Correct Answer is ["25"]

Explanation

To answer this question, you need to use the formula:

gtt/min = (Volume x Drop factor) / Time

Plug in the given values:

gtt/min = (100 mL x 15 gtt/mL) / 60 min

Simplify and solve:

gtt/min = 1500 gtt / 60 min gtt/min = 25 gtt/min

Therefore, the nurse should set the manual IV infusion to deliver 25 gtt/min.

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A nurse is reinforcing teaching with a client who has gout. Which of the following medication classes should the nurse instruct the client to avoid?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has gout. Which of the following dietary restrictions should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is preparing to administer dextrose 5% in water (DSW) 100 mL to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number.)

Correct Answer is ["25"]

Explanation

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