Patient Data
For each medication used to treat gout, choose the most likely therapeutic outcome and the teaching associated with the medication.
Colchicine
Naproxen
Prednisone
Allopurinol
The Correct Answer is {"A":{"answers":"A, E"},"B":{"answers":"C, E"},"C":{"answers":"C, E"},"D":{"answers":"D, G"}}
Colchicine is used in severe acute gout attack to minimize pain at the joint. Colchicine's mechanism of action involves interfering with the inflammatory process by binding to tubulin, a protein essential for the formation of microtubules within cells.
Prednisone is a corticosteroid with anti-inflammatory properties. It reduces inflammation caused by urate crystals.
Naproxen is a nonsteroidal anti-inflammatory drug (NSAID). It interferes with the inflammatory process in gout reducing pain. The use of naproxen and prednisone with alcohol reduces their effectiveness leading to suboptimal pain relief.
Allopurinol is a lipid lowering agent. It prevents the formation of uric acid lowering the deposition of urate crystals at the joint(s). Missing a dose of allopurinol leads to subtherapeutic blood levels and increased risk of acute gout attacks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"C"},"E":{"answers":"B"}}
Explanation
In an asthmatic attack, exposure to triggers leads to bronchospasm which blocks airflow leading to impaired ventilation that manifests as respiratory distress- tachypnea. This prevents oxygenation with resultant hypoxia as evidenced by low SPO2 levels. Continuous use of a non- selective beta agonists leads to elevated heart rate.
Acute asthmatic attacks are not associated with changes in blood pressure
Acute asthmatic attacks are not associated with changes in temperature. However, when triggered by pulmonary infections, the client may experience episodes of fever.
Correct Answer is B
Explanation
B Morphine is commonly administered to individuals experiencing chest pain associated with a suspected heart attack. It helps relieve pain and reduces anxiety, thereby improving the comfort
of the patient. Additionally, morphine has vasodilatory effects, which can help reduce the workload on the heart and improve blood flow to the myocardium.
Hydromorphone is a potent opioid analgesic similar to morphine. While it may provide pain relief, it is not typically the first-line choice for managing chest pain associated with a myocardial infarction.
C Oxycodone is another opioid analgesic used for pain relief, but it is not commonly used in the acute management of myocardial infarction. It may be considered for other types of pain management but is not the preferred choice in this scenario.
D Fentanyl is a potent opioid analgesic often used for pain management, including in emergency situations. While it may provide pain relief, morphine is preferred in the acute setting of a myocardial infarction due to its vasodilatory effects and established efficacy in managing cardiac-related chest pain.
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