A patient with chronic gout is prescribed allopurinol. Which statement by the patient indicates a correct understanding of the medication's purpose?

"Allopurinol helps to lower uric acid levels and prevent future gout attacks."

“I should take allopurinol during an acute gout attack to relieve pain immediately."

“I should avoid drinking water while taking allopurinol to prevent kidney stones."

"Allopurinol works by reducing inflammation in my joints during a flare-up."

Answer and Explanation

The Correct Answer is A

A. "Allopurinol helps to lower uric acid levels and prevent future gout attacks." Allopurinol is a xanthine oxidase inhibitor that decreases uric acid production, helping to prevent future gout attacks rather than treating acute flares.

B. “I should take allopurinol during an acute gout attack to relieve pain immediately." Allopurinol is not used for acute gout attacks because it does not have immediate pain-relieving or anti-inflammatory effects. In fact, starting or increasing allopurinol during an acute attack may worsen symptoms.

C. “I should avoid drinking water while taking allopurinol to prevent kidney stones." Adequate hydration is essential while taking allopurinol to prevent uric acid kidney stones and to help eliminate excess uric acid from the body.

D. "Allopurinol works by reducing inflammation in my joints during a flare-up." Allopurinol does not have anti-inflammatory properties. It lowers uric acid levels over time, reducing the risk of future gout attacks but not treating acute inflammation.

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Correct Answer is B

Explanation

A. "Handwashing is not necessary since impetigo is not contagious." Impetigo is highly contagious, and proper hand hygiene is essential to prevent its spread to others.

B. “I should apply Mupirocin (Bactroban) to the affected areas as prescribed." Mupirocin (Bactroban) is the standard topical antibiotic treatment for impetigo and should be applied as prescribed to reduce bacterial colonization and promote healing.

C. “I don't need to cover the lesions; they should be left open to the air." Covering the lesions can help prevent the spread of infection by minimizing contact with contaminated surfaces.

D. “I will let my child scratch the lesions to help them dry out faster." Scratching can worsen the infection, spread bacteria to other parts of the body, and lead to secondary infections.

A. “I will reposition every 2 hours to prevent pressure injuries." B. “I should apply warm compresses to any red areas to improve circulation and prevent ulcers." C. “I will encourage a diet rich in vitamin C, zinc, and protein to support skin healing." D. “I should use foam cushions and heel protectors to relieve pressure on bony prominences."

Correct Answer is B

Explanation

A. “I will reposition every 2 hours to prevent pressure injuries." Repositioning every 2 hours is a key preventive measure to relieve pressure and reduce the risk of pressure ulcers. This is an appropriate statement and does not indicate a need for further teaching.

B. “I should apply warm compresses to any red areas to improve circulation and prevent ulcers." This statement indicates a need for further teaching. Applying warm compresses to reddened areas can actually worsen tissue damage by increasing moisture and promoting skin breakdown. Instead, pressure should be relieved from the area immediately.

C. “I will encourage a diet rich in vitamin C, zinc, and protein to support skin healing." A diet high in protein, vitamin C, and zinc helps support skin integrity and promotes wound healing, making this a correct statement.

D. “I should use foam cushions and heel protectors to relieve pressure on bony prominences." Foam cushions and heel protectors help redistribute pressure, reducing the risk of pressure ulcers on bony areas like the sacrum and heels. This statement does not indicate a need for further teaching.

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A patient with chronic gout is prescribed allopurinol. Which statement by the patient indicates a correct understanding of the medication's purpose?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to the parent of a child diagnosed with impetigo. Which of the following statements by the parent indicates a correct understanding of the treatment plan?

Correct Answer is B

Explanation

A nurse is providing discharge teaching to a caregiver about preventing pressure ulcers in a bedridden patient. Which statement by the caregiver indicates a need for further teaching?

Correct Answer is B

Explanation

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A patient with chronic gout is prescribed allopurinol. Which statement by the patient indicates a correct understanding of the medication's purpose?

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