Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A client who is suffering from an acute gout attack wants to know how colchicine differs from probenecid and allopurinol in its actions. Which of these statements shows the need for further teaching regarding the purpose and use of these medications?
A. Allopurinol prevents the synthesis of uric acid.
Allopurinol inhibits the synthesis of uric acid, preventing its formation.
B. All of these medications should be taken concurrently during an acute attack, and non-steroidal anti-inflammatory drugs (NSAIDs) should be added for pain control.
Colchicine is typically used for gout flares and reduces inflammation but is not usually taken concurrently with probenecid and allopurinol. NSAIDs or corticosteroids are often used for pain control during acute attacks.
C. Colchicine reduces inflammation caused by uric acid.
Colchicine is known for its anti-inflammatory properties but does not prevent uric acid synthesis or facilitate its elimination.
D. Probenecid facilitates the elimination of uric acid in the nephrons.
Probenecid increases the excretion of uric acid in the urine.
This question is an excerpt from Nurse Dive's nursing test bank - Ramsussen Section 4 Module 11. Pharmocology For Professional Nursing Proctored Exam. Take the full exam now
Full Explanation
A) Allopurinol inhibits the synthesis of uric acid, preventing its formation.
B) Colchicine is typically used for gout flares and reduces inflammation but is not usually taken concurrently with probenecid and allopurinol. NSAIDs or corticosteroids are often used for pain control during acute attacks.
C) Colchicine is known for its anti-inflammatory properties but does not prevent uric acid synthesis or facilitate its elimination.
D) Probenecid increases the excretion of uric acid in the urine.
Similar Questions
A client who is taking calcium supplements receives a prescription for ciprofloxacin for a respiratory infection. What must the nurse include in client teaching?
A. A Consume extra fluids while taking the ciprofloxacin to prevent hypercalciuria.
Consuming extra fluids to prevent hypercalciuria is not directly related to the interaction between calcium supplements and ciprofloxacin.
B. B Take the calcium either six hours before or two hours after taking the ciprofloxacin.
Calcium interferes with the absorption of ciprofloxacin, so they should be taken at least six hours apart to avoid decreased effectiveness of the antibiotic.
C. C Stop taking the calcium supplements while taking the ciprofloxacin.
Stopping calcium supplements may not be necessary, but proper timing is crucial.
D. D Take the two medications together to increase the absorption of both.
Taking the medications together can reduce the absorption of both, so they should be spaced apart.
Full Explanation
A) Consuming extra fluids to prevent hypercalciuria is not directly related to the interaction between calcium supplements and ciprofloxacin.
B) Calcium interferes with the absorption of ciprofloxacin, so they should be taken at least six hours apart to avoid decreased effectiveness of the antibiotic.
C) Stopping calcium supplements may not be necessary, but proper timing is crucial.
D) Taking the medications together can reduce the absorption of both, so they should be spaced apart.
A client has had emergency surgery for a ruptured appendix. Before surgery, the client was taking dexamethasone for three years. With the client's steroid use history, for which complication will the nurse monitor in the recovery phase?
A. Bradycardia
Bradycardia is not typically associated with long-term steroid use; it may be more related to factors like anesthesia or surgical stress.
B. Postoperative blood clots
Prolonged steroid use increases the risk of thrombosis, and postoperative blood clots are a concern in individuals with a history of long-term steroid use.
C. Impaired wound healing
Steroids can delay wound healing, but in this context of emergency surgery for a ruptured appendix, the primary concern is often the risk of blood clots.
D. Pre-surgical dehydration
Pre-surgical dehydration is a potential concern but is not specifically related to the client's history of steroid use.
Full Explanation
A) Bradycardia is not typically associated with long-term steroid use; it may be more related to factors like anesthesia or surgical stress.
B) Prolonged steroid use increases the risk of thrombosis, and postoperative blood clots are a concern in individuals with a history of long-term steroid use.
C) Steroids can delay wound healing, but in this context of emergency surgery for a ruptured appendix, the primary concern is often the risk of blood clots.
D) Pre-surgical dehydration is a potential concern but is not specifically related to the client's history of steroid use.
The nurse is educating a client regarding the use of omeprazole. What statement by the client shows a proper understanding of how to take this medication?
A. A "I should chew the medication when my heartburn is bad, so it absorbs more rapidly."
Omeprazole should not be chewed; it is usually taken whole with a glass of water.
B. B "I should take this medication with an antacid to maximize its effects."
Taking omeprazole with an antacid may alter its absorption and effectiveness; they should be taken separately.
C. C "I should plan to take this medication for the rest of my life."
While long-term use may be necessary in some cases, the statement doesn't reflect proper understanding of the timing of administration.
D. D "I should take this medication on an empty stomach before I eat."
Omeprazole is most effective when taken on an empty stomach, usually 30 to 60 minutes before a meal.
Full Explanation
A) Omeprazole should not be chewed; it is usually taken whole with a glass of water.
B) Taking omeprazole with an antacid may alter its absorption and effectiveness; they should be taken separately.
C) While long-term use may be necessary in some cases, the statement doesn't reflect a proper understanding of the timing of administration.
D) Omeprazole is most effective when taken on an empty stomach, usually 30 to 60 minutes before a meal.