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Practice Question

A patient with acute gout asks you why allopurinol cannot be used at this time. What is your best response?

Answer Choices:

Correct Answer:

"Allopurinol is used only for the prevention of gout attacks."

Rationale:

💊Allopurinol lowers serum uric acid by inhibiting xanthine oxidase, making it a prophylactic agent to prevent future flares rather than treat an acute gout attack.

💊During an acute flare, pain and inflammation are best managed with NSAIDs, colchicine, or corticosteroids, not urate-lowering therapy initiation.

💊Starting or adjusting allopurinol during a flare can destabilize urate pools and is associated with worsening/prolongation of acute symptoms.

💊Allopurinol is typically initiated after the acute episode resolves, often with anti-inflammatory prophylaxis (e.g., low-dose colchicine) to prevent flare precipitation.

💊Key teaching is that allopurinol provides long-term control of hyperuricemia and reduces tophi formation, but it does not relieve acute pain.

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This question is from Custom FRIEDMAN-PHARM-CH 12-13-15 (Pain-Inflam-Immune) (1) which contains 52 questions.

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An LPN is preparing a patient for general anesthesia prior to surgery. Which of the following is the most important nursing intervention to reduce the risk of complications related to general anesthesia?

Answer Choices:

A. Ensure the patient has followed NPO (nothing by mouth) instructions for at least 6 to 8 hours before the surgery.
B. Instruct the patient to avoid all physical activity in the days leading up to surgery.
C. Encourage the patient to drink plenty of fluids after the procedure to prevent dehydration.
D. Administer a mild sedative prior to the anesthesia to reduce anxiety.
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An LPN is preparing a patient for general anesthesia prior to surgery. Which of the following is the most important nursing intervention to reduce the risk of complications related to general anesthesia?

Answer Choices:

A. Ensure the patient has followed NPO (nothing by mouth) instructions for at least 6 to 8 hours before the surgery.
B. Instruct the patient to avoid all physical activity in the days leading up to surgery.
C. Encourage the patient to drink plenty of fluids after the procedure to prevent dehydration.
D. Administer a mild sedative prior to the anesthesia to reduce anxiety.
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A patient with chronic arthritis pain reports taking acetaminophen 4 to 6 g/day for arthritis pain. Which health problem should you teach this patient that can occur as a result of taking this acetaminophen therapy?

Answer Choices:

A. "Chronic acetaminophen use can invoke asthma attacks."
B. "Diabetes is a complication that can result from long-term acetaminophen use."
C. "The use and overuse of acetaminophen can result in excessive bleeding."
D. "Liver toxicity can result as a result of high acetaminophen doses."
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An LPN is caring for a patient who is receiving long-term corticosteroid therapy for chronic inflammation. Which of the following is the most important nursing implication to consider when planning care for this patient?

Answer Choices:

A. Encourage the patient to stop the corticosteroid therapy abruptly if they experience side effects like weight gain.
B. Monitor the patient's blood glucose levels, as corticosteroids can increase blood sugar.
C. Instruct the patient to take the corticosteroids with food to reduce the risk of gastrointestinal irritation.
D. Monitor the patient for signs of hypotension, as corticosteroids can lower blood pressure.
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An LPN is preparing a patient for surgery who is currently taking NSAIDs (nonsteroidal anti-inflammatory drugs). Which of the following is the most important nursing action before the procedure?

Answer Choices:

A. Encourage the patient to take NSAIDs with food to prevent stomach upset before the procedure.
B. Instruct the patient to continue taking NSAIDs until the day of the surgery for pain relief.
C. Advise the patient to stop taking NSAIDs at least 72 hours before the surgery to reduce the risk of bleeding.
D. Monitor the patient for signs of hypertension due to long-term NSAID use.
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Custom FRIEDMAN-PHARM-CH 12-13-15 (Pain-Inflam-Immune) (1)

52 Questions

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: LPN ATI Exams
  • Domain: Pharmacology
  • Answer Choices: 4
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