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. Calcium carbonate can cause kidney stones, which may result in flank pain.
B. Tinnitus is not a common adverse effect of calcium carbonate.
C. Calcium carbonate is not known to cause bradycardia.
D. Urinary retention is not a common adverse effect of calcium carbonate.

A. Instruct the client to stay in the bathtub no longer than 20 min. B. Fill the bathtub with water at 48 C (118.4° F). C. Use bath oil in the client’s bathtub D. Provide the client with non-slip bath strips in the bathtub.

Correct Answer is D

Explanation

A. The duration of time in the bathtub should be based on the client's tolerance but should not exceed 20 minutes.
B. Water temperature should be warm but not excessively hot to avoid burns or discomfort.
C. Bath oils can make the bathtub slippery and increase the risk of falls. They should be avoided.
D. Providing non-slip bath strips enhances safety and helps prevent the client from slipping in the bathtub.

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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

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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