Practice Question
A nurse is teaching a client who has a new prescription of allopurinol for the treatment of Gout. Which of the following is most important to include in the client teaching?
Answer Choices:
Correct Answer:
"Drink 2 liters of fluid each day while taking the medication."
Rationale:
- Allopurinol is a xanthine oxidase inhibitor used in chronic gout management to reduce uric acid production.
- Increased fluid intake (at least 2–3 liters daily) is crucial because it dilutes the urine and helps prevent the formation of uric acid kidney stones, which are a common complication of gout and allopurinol use.
- Clients should avoid aspirin, which can antagonize the uricosuric effect.
- Taking it on an empty stomach is not advised due to potential GI irritation.
- Crushing is unnecessary unless prescribed for a patient with swallowing difficulties.
- The emphasis should be on hydration and monitoring for adverse effects like rash or hypersensitivity.
Want to practice more questions like this?
This question is from RN MS II Fall~2023 Quiz which contains 23 questions.
More Questions from This Exam
A nurse is caring for a client who has been recently diagnosed with rheumatoid arthritis (RA). Which assessment finding does the nurse expect to assess?.
Answer Choices:
A. Symmetrical joint pain that is relieved with rest.
B. Symmetrical joint pain.
C. Bouchard's nodes in the middle joints.
D. Unilateral pain in the weight-bearing joints.
A nurse in a provider's office is assessing a client who has been diagnosed with rheumatoid arthritis (RA). Which assessment finding does the nurse expect as a manifestation of this condition?
Answer Choices:
A. Swollen joints.
B. Fatigue and loss of appetite.
C. Low-grade fever.
D. Knuckle deformity.
The nurse is caring for a client who is post-op day 1 from a laparoscopic cholecystectomy. Which task should the nurse delegate to the unlicensed assistive personnel?
Answer Choices:
A. Increase the clients IV fluids.
B. Reassess the incision site for bleeding.
C. Administer p.o. pain medication.
D. Assist the client to the bathroom.
The nurse is preparing discharge teaching for a client who has been recently diagnosed with Rheumatoid arthritis. Which of the statements made by the client would indicate the need for further teaching?
Answer Choices:
A. "When carrying an object I will hold it close to my body."-
B. "l will pick up objects with my arms or leg muscles.".
C. "I will carry my laundry basket with the tip of my fingers.".
D. "l will bend at the knees when picking up an item from the floor."
A nurse is caring for a female client with rheumatoid arthritis, the client asks the nurse if it is safe to take aspirin. The nurse should recognize which of the following contraindications is of most concern?
Answer Choices:
A. Reports of inflammation in the joints.
B. Joint pain that is not relieved with rest.
C. Report of recent headache.
D. Report of bloody stools.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4