Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching?
A. If I get a fever while taking this medication, I will take some aspirin.
B. I need to increase my fluid intake while taking this medication.
Allopurinol is a medication used to decrease levels of uric acid in people with gout, or kidney stones, or who are receiving certain types of chemotherapy1. Increasing fluid intake while taking this medication can help prevent the formation of kidney stones.
C. I should take this medicine on an empty stomach.
D. If I get a rash from this medication, I will take my usual antihistamine.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom Pharmacology Proctored Exam 2. Take the full exam now
Full Explanation
Allopurinol is a medication used to decrease levels of uric acid in people with gout, or kidney stones, or who are receiving certain types of chemotherapy1. Increasing fluid intake while taking this medication can help prevent the formation of kidney stones.
Similar Questions
A nurse is administering timolol eye drops to a client who has glaucoma. Which of the following actions should the nurse take?
A. Protect the distal portion of the eyedropper using clean technique.
Sterile technique should ideally be used when handling the distal portion of the eyedropper to prevent introducing pathogens into the eye, as the eye is a sensitive area susceptible to infection.
B. Wipe the eye from the outer canthus to the inner canthus before instillation.
When cleaning the eye, it is recommended to wipe from the inner canthus to the outer canthus to avoid bringing contaminants from the outer area closer to the tear duct, which reduces the risk of infection.
C. Apply pressure to the bridge of the nose after administration.
Applying pressure to the bridge of the nose is ineffective for preventing systemic absorption of the medication. Instead, pressure should be applied to the inner canthus (the nasolacrimal duct area) for about 1-2 minutes after instillation.
D. Drop prescribed amount of medication into the conjunctival sac.
The correct technique for administering eye drops involves placing the prescribed number of drops into the conjunctival sac, not directly onto the cornea, as this can cause irritation and discomfort. Administering drops into the conjunctival sac allows for better absorption of the medication.
Full Explanation
A. Sterile technique should ideally be used when handling the distal portion of the eyedropper to prevent introducing pathogens into the eye, as the eye is a sensitive area susceptible to infection.
B. When cleaning the eye, it is recommended to wipe from the inner canthus to the outer canthus to avoid bringing contaminants from the outer area closer to the tear duct, which reduces the risk of infection.
C. Applying pressure to the bridge of the nose is ineffective for preventing systemic absorption of the medication. Instead, pressure should be applied to the inner canthus (the nasolacrimal duct area) for about 1-2 minutes after instillation.
D. The correct technique for administering eye drops involves placing the prescribed number of drops into the conjunctival sac, not directly onto the cornea, as this can cause irritation and discomfort. Administering drops into the conjunctival sac allows for better absorption of the medication.
What is the action of timolol maleate (Timoptic), a beta-adrenergic blocking agent?
A. Increases the outflow of aqueous humor.
B. Increases the production of aqueous humor.
C. Draws aqueous humor from the eye into the circulatory network.
D. Decreases the production of aqueous humor.
Timolol maleate (Timoptic) is a beta-adrenergic blocking agent that reduces elevated intraocular pressure by decreasing the production of aqueous humour in the ciliary body of the eye.
Full Explanation
Timolol maleate (Timoptic) is a beta-adrenergic blocking agent that reduces elevated intraocular pressure by decreasing the production of aqueous humour in the ciliary body of the eye.
A nurse is teaching a client who has a new prescription for amoxicillin-clavulanate to treat pharyngitis. Which of the following statements by the client indicates an understanding of the teaching?
A. I will take this medication until my sore throat goes away.
B. I will stop taking this medication if I develop itching.
Itching can be a sign of an allergic reaction to amoxicillin-clavulanate. If a client develops itching while taking this medication, they should stop taking it and contact their healthcare provider immediately for further instructions.
C. I should take this medication on an empty stomach.
D. I will double my dose if I miss one.
Full Explanation
Itching can be a sign of an allergic reaction to amoxicillin-clavulanate. If a client develops itching while taking this medication, they should stop taking it and contact their healthcare provider immediately for further instructions.
