A gout patient's creatinine clearance is less than 80 mL/min. The nurse expects this patient to be started on which medication?

a. NSAID
b. Allopurinol
c. ASA
d. Salicylates


ANS: B
Allopurinol usually is used when objective findings show uric acid nephropathy with impaired renal function (creatinine clearance less than 80 mL/min).

Nursing

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A client is diagnosed with histrionic personality disorder. The interventions should focus on which of the following behaviors?

A) Preoccupation with orderliness B) Fear of disapproval C) Dependency needs D) Extreme egocentricity

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Which of the following are nursing diagnoses that would apply to the client with multiple myeloma? (Select all that apply.)

a. Impaired tissue inte-grity d. Risk for infection b. Chronic pain e. Disturbed body im-age c. Risk for injury

Nursing

A survey of staff satisfaction is conducted. The survey indicates that staff members are satisfied, are loyal to the organization, and feel that they have reasonable control in their individual responsibilities. The findings best exemplify:

a. Clarity in roles and valuing of contributions. b. Satisfaction but not empowerment. c. Effective coaching of new staff. d. Role attachment.

Nursing

A nurse is formulating the nursing diagnosis of a client who is recovering from a heart attack. Which is an example of an independent nursing action that the nurse must consider when formulating the nursing diagnosis for the client?

A) Take off oxygen mask when client's condition improves. B) Determine the strength of medication in intravenous solution. C) Administer medications if condition worsens. D) Monitor client's condition frequently during care.

Nursing