The client with gout is prescribed allopurinol. Dosing will be adjusted based on
Target serum drug levels
Absence of Gl effects
Serum creatinine
Plasma urate level
The Correct Answer is D
Choice A rationale: Allopurinol dosing is not typically adjusted based on target serum drug levels.
Choice B rationale: The absence of gastrointestinal (GI) effects is not a parameter used to adjust the dosing of allopurinol.
Choice C rationale: This is partially correct. Allopurinol dosing is adjusted based on renal function, but specifically, it is adjusted based on serum creatinine levels. The higher the creatinine levels, the lower the dose of allopurinol should be.
Choice D rationale: This is correct. Allopurinol dosing is adjusted based on plasma urate levels. The goal is to reduce uric acid levels in the blood to prevent the formation of urate crystals and subsequent gout attacks. Regular monitoring of plasma urate levels helps determine the effectiveness of the medication, and adjustments can be made to achieve the target urate level.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Before administering lithium, the nurse should assess serum creatinine levels. Lithium is excreted by the kidneys, and impaired renal function can lead to lithium toxicity.
Choice B rationale: Serum troponin I and T levels are markers of cardiac damage and are not directly related to lithium therapy.
Choice C rationale: Fasting blood glucose level is not specifically related to the assessment needed before administering lithium.
Choice D rationale: Serum lipid profile is not directly related to the assessment needed before administering lithium.
Correct Answer is A
Explanation
Choice A rationale: Patient-controlled analgesia (PCA) devices provide a controlled dose of medication when the patient presses the button. However, the onset of action for morphine is typically faster than 10 minutes.
Choice B rationale: PCA devices often have a lock-out period to prevent patients from administering too many doses too quickly and risking overdose.
Choice C rationale: Patient-controlled analgesia is designed for the patient to self- administer the medication. Allowing family members to press the button may lead to inaccurate dosing.
Choice D rationale: Morphine should be administered as needed, not preemptively.
Administering the medication 10 minutes before physical therapy could result in excessive sedation.
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