A nurse is teaching a client who has a new prescription of allopurinol for the treatment of Gout. Which of the following is most important to include in the client teaching?.

"Take the medication on an empty stomach.”.

"Take aspirin in conjunction with this medication.”.

"Crush the medication before taking it.”.

"Drink 2 liters of fluid each day while taking the medication.”. .

Answer and Explanation

The Correct Answer is D

Choice A rationale:
While it’s generally recommended to take medication with food to prevent stomach upset, allopurinol does not need to be taken on an empty stomach.
Choice B rationale:
Aspirin can increase the risk of bleeding, and since allopurinol can occasionally cause blood disorders, it’s not recommended to take these two medications together without medical advice.
Choice C rationale:
Allopurinol tablets should not be crushed. They should be swallowed whole with a glass of water.
Choice D rationale:
Drinking plenty of fluids while taking allopurinol can help prevent the formation of kidney stones, a potential side effect of the medication.

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Correct Answer is B

Explanation

Choice A rationale:
Swan neck deformity is more commonly associated with rheumatoid arthritis, not osteoarthritis.
Choice B rationale:
Heberden and Bouchard nodes, which are hard, bony enlargements, are common clinical manifestations of osteoarthritis.
Choice C rationale:
Boutonniere deformity is also more commonly associated with rheumatoid arthritis. Joint swelling can occur in osteoarthritis, but it’s not as common as other symptoms.
Choice D rationale:
Pain at rest and crepitus (a grating or crackling sound or sensation) can occur in osteoarthritis.

A. Avoid a high veal diet. B. Avoid a high bacon diet. C. Increase alcohol intake. D. Avoid a high fish diet. E. Recommend a starvation diet.

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

Explanation

Choice A rationale:
High veal diet should be avoided as it is high in purines which can exacerbate gout.
Choice B rationale:
High bacon diet should be avoided as it is high in purines and sodium which can exacerbate gout.
Choice C rationale:
Increasing alcohol intake is not recommended as it can increase uric acid production, worsening gout.
Choice D rationale:
High fish diet should be avoided as it is high in purines which can exacerbate gout.
Choice E rationale:
Starvation diet is not recommended as rapid weight loss can increase uric acid levels, triggering a gout attack.

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A nurse is teaching a client who has a new prescription of allopurinol for the treatment of Gout. Which of the following is most important to include in the client teaching?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client with osteoarthritis (OA) of the elbows and fingers. Which of the following clinical manifestations should the nurse expect to find?.

Correct Answer is B

Explanation

A nurse is teaching a client who has a new diagnosis of gout about managing the disorder. Which of the following instructions should the nurse include in the teaching? (Select All that Apply.).

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

Explanation

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