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","D"]

Explanation

A. Using clean technique helps prevent contamination during catheter dressing changes.
B. Changing the catheter dressing every 2 days may not be necessary, and frequency should be based on the facility's policy and the client's condition.
C. Povidone-iodine is not the recommended antiseptic for cleaning the access port.
Alcohol or chlorhexidine is typically recommended.
D. Proper hand hygiene is crucial to prevent introducing pathogens during catheter care.
E. Using friction when cleaning the access port is not a recommended practice and may cause damage. Cleaning should be done gently to avoid compromising the integrity of the site.

A. "Discomfort is expected in clients who are at the end-of-life." B. Opioid narcotics can cause loose stools and diarrhea in clients." C. Pain is expected in older adult clients." D. Clients are often afraid that opioid narcotics can result in addiction."

Correct Answer is D

Explanation

A. While discomfort can occur, it is not an expected or acceptable part of end-of-life care. Effective pain management is a key priority, and discomfort should be addressed promptly to ensure the client’s comfort and dignity.

B. While true, this statement does not directly address the expectation of discomfort at the end of life.
C. While pain can be present in older adults, the statement does not specifically address the end-of-life context.
D.Fear of addiction is a common concern among clients and families, even at the end of life. Nurses should educate clients and families about the importance of managing pain effectively and emphasize that addiction is not a concern when opioids are used appropriately for end-of-life care. This helps alleviate anxiety and encourages adherence to prescribed pain management regimens.

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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 assisting in the care of a client. Exhibits The nurse is assisting with catheter care for the client to prevent a central line-associated bloodstream infection (CLABSI bundle). Which of the following actions should the nurse take? Select all that apply.

Correct Answer is ["A","D"]

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about pain management during the end of life. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

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