A patient who is obese and has hypertension is taking a thiazide diuretic and develops gouty arthritis, which is treated with probenecid
At a follow-up visit, the patient's serum uric acid level is 7 mg/dL, and the patient denies any current symptoms. The primary care NP should discontinue the probenecid and: a. prescribe colchicine.
b. prescribe febuxostat.
c. tell the patient to use an NSAID if symptoms recur.
d. counsel the patient to report recurrence of symptoms.
A
Colchicine is a first-line drug for preventing acute attacks. Because this patient has three risk factors, a preventive medication should be used. Febuxostat is a second-line preventive medication. The patient should not be treated on an as-needed basis.
You might also like to view...
Children under age 6 years are at greater risk for infection due to underdeveloped:
1. Leukocytes. 2. Acquired immunity. 3. Natural immunity. 4. Antigens.
A 4-year-old begins to cry when his mother tells him it is time for his operation. The nurse understands this is an expected reaction. On which particular fear of the preschooler does the nurse base this understanding?
a. Loss of control b. Restricted mobility c. Unfamiliar routines d. Invasive procedures
A nurse is interested in epidemiology. What work activity would best fit this role?
a. Studying census data to determine common causes of death b. Researching population variables that contribute to disease c. Developing sanitary measures to prevent foodborne illness d. Designing research to determine the connection between pollution and cancer
The nurse is providing client education for a client going home on a cardiac diet. The client voices concern about the nutritional value of the foods he is supposed to eat
To help retain the nutritional value of vegetables, what would the nurse teach the client? A) Thaw frozen vegetables before cooking. B) Deep-fry, steam, microwave, or bake vegetables. C) Cook to the mush stage of doneness. D) Cook only as many vegetables as are needed for one meal.