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 D

Explanation

A. Shaking the ampule is not necessary and can create air bubbles in the solution.
B. Snapping the top of the ampule towards the hands is not recommended, as it can cause injury. The top should be snapped away from the nurse.
C. Sterile gloves may be worn for other aspects of the procedure, but it is not necessary to wear them specifically when withdrawing medication from the ampule.
D. Using a filter needle helps prevent glass particles from entering the syringe when withdrawing medication from an ampule.

A. Standards of care published by the Oncology Nursing Society B. Recommendations from a nurse who has worked in an outpatient chemotherapy clinic C. A qualitative study exploring clients’ perspectives on receiving chemotherapy D. A chapter on chemotherapy in a published textbook

Correct Answer is A

Explanation

A. Standards of care published by reputable organizations, such as the Oncology Nursing Society, provide evidence-based guidelines and best practices.
B. While the experience of a nurse in a chemotherapy clinic is valuable, it may not represent standardized, evidence-based practices.
C. A qualitative study may provide insights into clients' perspectives but may not necessarily offer specific interventions for oral care.
D. Published textbooks can be valuable resources, but standards of care from professional organizations are generally more up-to-date and evidence-based.

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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 preparing an injection using a single dose glass ampule. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is contributing to the development of an oral care protocol for clients who are receiving chemotherapy. Which of the following resources should the nurse utilize to identify interventions?

Correct Answer is A

Explanation

A nurse is contributing to the plan of care for a client who had a total joint replacement and is two days postoperative. Which of the following resources should the nurse consult to determine the client’s activity level for the day?

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