The nurse is providing instructions about a client’s new medication. How should the nurse explain the purpose of probenecid, a uricosuric drug?
Decreases pain during urination.
Increases strength of the urine system.
Promotes excretion of uric acid in the urine.
Prevents formation of kidney stones.
The Correct Answer is C
Probenecid is a uricosuric drug that works by inhibiting the reabsorption of uric acid in the kidneys and promotes its excretion in the urine. This drug is used to treat gout and hyperuricemia (high levels of uric acid in the blood). Therefore, the nurse should explain to the client that the purpose of probenecid is to promote the excretion of uric acid in the urine and lower the levels of uric acid in the blood, which can help prevent gout attacks and kidney stones.
Options a, b, and d are incorrect as they do not accurately describe the mechanism of action or purpose of probenecid.
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Related Questions
Correct Answer is D
Explanation
Metoclopramide is a medication used to treat nausea and vomiting, including those caused by chemotherapy. However, it has a potential adverse effect of causing extrapyramidal symptoms (EPS), which are involuntary movements of the body, such as muscle spasms, twitching, or restlessness. These symptoms can be distressing for patients and can interfere with their quality of life. EPS can be a sign of tardive dyskinesia, a serious and irreversible neurological disorder.
Therefore, it is essential for the nurse to monitor the client for any signs of EPS and report them immediately to the healthcare provider to prevent further complications. Unusual irritability, diarrhea, and nausea are also potential adverse effects of metoclopramide, but they are not as concerning as EPS.
Correct Answer is B
Explanation
Nitrofurantoin is an antibiotic commonly used to treat urinary tract infections. One of the adverse effects of nitrofurantoin is diarrhea, which may be severe and watery. Therefore, it is important for the home care nurse to inform the client that the diarrhea may be a side effect of the medication and requires further evaluation. The nurse should instruct the client to stop taking the medication and contact their healthcare provider for further assessment and treatment. The nurse should also assess the client's fluid and electrolyte status and monitor for signs of dehydration.
Option a is important to consider, but it does not address the potential adverse effect of the medication.
Option c may be appropriate in some cases, but it is not the priority intervention at this time.
Option d is not necessarily true and may cause unnecessary alarm to the client.
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