Question 1

The nurse questions an order for which of the following medications that should be avoided while a client is taking allopurinol (Zyloprim) ?

Accepted Answer

A)   Salicylates (Aspirin) 
B)   Acetaminophen (Tylenol) 
C)   Warfarin sodium (Coumadin) 
D)   Hydrochlorothiazide (Thiazide) E) C) and D)
F) A) and D)

Question 2

The nurse who is explaining the effects of colchicine to a client would consider which of the following pieces of information?

Accepted Answer

A)   It causes decreased motility of leukocytes
B)   It aids the process of phagocytosis
C)   It increases uric acid metabolism
D)   It increases production of lactic acidE) B) and C)
F) None of the above A

Question 3

A nurse teaches a client taking allopurinol (Zyloprim) to avoid which of the following foods to minimize the formation of calcium oxalate stones?

Accepted Answer

A)   Milk
B)   Peas
C)   Cranberries
D)   MolassesE) None of the above
F) B) and C)

Question 4

As part of discharge instructions for a client with gout,the nurse includes which of the following in a list of items that would lead to an elevation in serum acid level?

Accepted Answer

A)   Mannitol
B)   Probenecid
C)   Alcohol
D)   Radiopaque dyesE) A) and C)
F) B) and D) C

Question 5

The nurse who is preparing a teaching plan about the newly ordered drug allopurinol (Zyloprim) includes that it reduces uric acid

Accepted Answer

A)   by inhibiting the enzyme necessary to convert xanthine to uric acid.
B)   only in the blood.
C)   only in the urine.
D)   by promoting purine synthesis.E) C) and D)
F) None of the above A

Question 6

The nurse explains to a client who has gout that the swelling associated with the current episode of gout may take how long to resolve?

Accepted Answer

A)   4 hours
B)   12 hours
C)   1 to 2 days
D)   3 days or moreE) B) and C)
F) C) and D)

Question 7

The nurse would assess the client who is just beginning oral drug therapy with colchicine for which of the following adverse effects?

Accepted Answer

A)   Nausea and vomiting
B)   Flulike symptoms
C)   Tingling of the fingers and toes
D)   AlopeciaE) All of the above
F) B) and C)

Question 8

In addition to uric acid level,the nurse would place highest priority on assessing which of the following laboratory test results for a client with gout who is taking colchicine?

Accepted Answer

A)   Complete blood count
B)   Clotting times
C)   Serum electrolytes
D)   UrinalysisE) A) and B)
F) B) and C)

Question 9

The nurse explains to a client with gout that at least how much time needs to elapse between courses of therapy with colchicine to avoid toxic drug accumulation?

Accepted Answer

A)   1 day
B)   3 days
C)   5 days
D)   7 daysE) B) and C)
F) None of the above

Question 10

The nurse would evaluate that a client does not understand the proper use of allopurinol (Zyloprim) when the client states that it can be used for treatment of which of the following?

Accepted Answer

A)   Chronic gouty arthritis
B)   Acute attack of gout
C)   Urate nephropathy
D)   Renal calculiE) A) and B)
F) A) and C)

Question 11

The nurse recommends which measure to ensure that the client with gout complies with the medication regimen?

Accepted Answer

A)   Take the medication on an empty stomach
B)   Take the medication between meals
C)   Drink a small amount of water with the medication
D)   Drink a large amount of water (3000 mL) while taking the medicationE) A) and D)
F) A) and C)

Question 12

A client with gout who is beginning drug therapy with allopurinol (Zyloprim) asks the nurse how long it will take for the uric acid level in the bloodstream to return to normal.The nurse should explain that this will take approximately how long?

Accepted Answer

A)   3 to 5 days
B)   1 to 3 weeks
C)   3 to 6 weeks
D)   3 months or moreE) B) and D)
F) A) and D)

Question 13

Assessment of the client on colchicine should include consideration of data leading to which of the following nursing diagnoses?

Accepted Answer

A)   Disturbed thought processes related to mood and mental changes
B)   Risk for infection related to medication-induced leukocytosis
C)   Risk for injury related to possible loss of balance and falls
D)   Altered self-concept related to an increase in weightE) A) and B)
F) B) and C)

Question 14

The nurse explains to a client that allopurinol (Zyloprim) aids in the treatment of gout by its ability to do which of the following?

Accepted Answer

A)   Increase xanthine oxidase levels
B)   Decrease nitrogen synthesis
C)   Increase prostaglandin levels
D)   Decrease uric acid synthesisE) B) and D)
F) All of the above

Question 15

The nurse determines that a client understands the effects of colchicine in the treatment of gout when the client states that the pain should be relieved how long after starting drug therapy?

Accepted Answer

A)   4 hours
B)   12 hours
C)   1 to 2 days
D)   3 to 5 daysE) A) and C)
F) B) and D)

Question 16

The nurse recommending a diet to enhance an alkaline urine that prevents calcium oxalate stones would suggest which of the following foods to the client?

Accepted Answer

A)   Prunes
B)   Plums
C)   Cranberries
D)   ApplesE) None of the above
F) A) and B)

Question 17

The nurse should ensure that which of the following juices is not on the breakfast tray of a client taking colchicine as treatment for gout?

Accepted Answer

A)   Apple
B)   Orange
C)   Grapefruit
D)   PineappleE) A) and B)
F) A) and C)

Exam 34: Uricosuric Drugs

The nurse questions an order for which of the following medications that should be avoided while a client is taking allopurinol (Zyloprim) ?

Correct Answer
verified

The nurse who is explaining the effects of colchicine to a client would consider which of the following pieces of information?

Correct Answer
verified
A

A nurse teaches a client taking allopurinol (Zyloprim) to avoid which of the following foods to minimize the formation of calcium oxalate stones?

Correct Answer
verified

As part of discharge instructions for a client with gout,the nurse includes which of the following in a list of items that would lead to an elevation in serum acid level?

Correct Answer
verified
C

The nurse who is preparing a teaching plan about the newly ordered drug allopurinol (Zyloprim) includes that it reduces uric acid

Correct Answer
verified
A

The nurse explains to a client who has gout that the swelling associated with the current episode of gout may take how long to resolve?

Correct Answer
verified

The nurse would assess the client who is just beginning oral drug therapy with colchicine for which of the following adverse effects?

Correct Answer
verified

In addition to uric acid level,the nurse would place highest priority on assessing which of the following laboratory test results for a client with gout who is taking colchicine?

Correct Answer
verified

The nurse explains to a client with gout that at least how much time needs to elapse between courses of therapy with colchicine to avoid toxic drug accumulation?

Correct Answer
verified

The nurse would evaluate that a client does not understand the proper use of allopurinol (Zyloprim) when the client states that it can be used for treatment of which of the following?

Correct Answer
verified

The nurse recommends which measure to ensure that the client with gout complies with the medication regimen?

Correct Answer
verified

A client with gout who is beginning drug therapy with allopurinol (Zyloprim) asks the nurse how long it will take for the uric acid level in the bloodstream to return to normal.The nurse should explain that this will take approximately how long?

Correct Answer
verified

Assessment of the client on colchicine should include consideration of data leading to which of the following nursing diagnoses?

Correct Answer
verified

The nurse explains to a client that allopurinol (Zyloprim) aids in the treatment of gout by its ability to do which of the following?

Correct Answer
verified

The nurse determines that a client understands the effects of colchicine in the treatment of gout when the client states that the pain should be relieved how long after starting drug therapy?

Correct Answer
verified

The nurse recommending a diet to enhance an alkaline urine that prevents calcium oxalate stones would suggest which of the following foods to the client?

Correct Answer
verified

The nurse should ensure that which of the following juices is not on the breakfast tray of a client taking colchicine as treatment for gout?

Correct Answer
verified

Exam 34: Uricosuric Drugs

The nurse questions an order for which of the following medications that should be avoided while a client is taking allopurinol (Zyloprim) ?

Correct AnswerverifiedShow Answer

The nurse who is explaining the effects of colchicine to a client would consider which of the following pieces of information?

Correct AnswerverifiedA

A nurse teaches a client taking allopurinol (Zyloprim) to avoid which of the following foods to minimize the formation of calcium oxalate stones?

Correct AnswerverifiedShow Answer

As part of discharge instructions for a client with gout,the nurse includes which of the following in a list of items that would lead to an elevation in serum acid level?

Correct AnswerverifiedC

The nurse who is preparing a teaching plan about the newly ordered drug allopurinol (Zyloprim) includes that it reduces uric acid

Correct AnswerverifiedA

The nurse explains to a client who has gout that the swelling associated with the current episode of gout may take how long to resolve?

Correct AnswerverifiedShow Answer

The nurse would assess the client who is just beginning oral drug therapy with colchicine for which of the following adverse effects?

Correct AnswerverifiedShow Answer

In addition to uric acid level,the nurse would place highest priority on assessing which of the following laboratory test results for a client with gout who is taking colchicine?

Correct AnswerverifiedShow Answer

The nurse explains to a client with gout that at least how much time needs to elapse between courses of therapy with colchicine to avoid toxic drug accumulation?

Correct AnswerverifiedShow Answer

The nurse would evaluate that a client does not understand the proper use of allopurinol (Zyloprim) when the client states that it can be used for treatment of which of the following?

Correct AnswerverifiedShow Answer

The nurse recommends which measure to ensure that the client with gout complies with the medication regimen?

Correct AnswerverifiedShow Answer

A client with gout who is beginning drug therapy with allopurinol (Zyloprim) asks the nurse how long it will take for the uric acid level in the bloodstream to return to normal.The nurse should explain that this will take approximately how long?

Correct AnswerverifiedShow Answer

Assessment of the client on colchicine should include consideration of data leading to which of the following nursing diagnoses?

Correct AnswerverifiedShow Answer

The nurse explains to a client that allopurinol (Zyloprim) aids in the treatment of gout by its ability to do which of the following?

Correct AnswerverifiedShow Answer

The nurse determines that a client understands the effects of colchicine in the treatment of gout when the client states that the pain should be relieved how long after starting drug therapy?

Correct AnswerverifiedShow Answer

The nurse recommending a diet to enhance an alkaline urine that prevents calcium oxalate stones would suggest which of the following foods to the client?

Correct AnswerverifiedShow Answer

The nurse should ensure that which of the following juices is not on the breakfast tray of a client taking colchicine as treatment for gout?

Correct AnswerverifiedShow Answer

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A

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C

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A

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