An overweight 53-year-old patient complains of severe pain in his right big toe. He has never had any problem like this before. Aspiration of the joint reveals uric acid crystals. The doctor will probably order:
1. salicylates.
2. NSAIDs.
3. allopurinol.
4. colchicine.
4
Colchicine is a uricosuric agent used to treat acute gouty attacks.
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A 25-year-old primigravida is 20 weeks pregnant. At the clinic, her nurse begins a prenatal assessment and obtains the following vital signs. Which finding would require the nurse to contact the physician?
1. Pulse 88/min 2. Respirations 30/min 3. Temperature 37.4°C (99.3°F) 4. Blood pressure 134/82
Which of the following accurately describes a distinguishing feature that will assist you in determining whether you are palpating an enlarged right kidney or an enlarged liver?
a. The edge of the liver is sharper, and the pole of the kidney is more rounded. b. The edge of the liver can be "captured," whereas an enlarged kidney cannot. c. Dullness to percussion is heard over the liver, whereas resonance is heard over the right kidney. d. A palpable notch on the medial edge of the organ favors the kidney.
A leader begins the discussion at the first meeting of a new group. Which comments should be included? Select all that apply
a. "We use groups to provide treatment because it's a more cost-effective use of staff in this time of budget constraints." b. "When someone shares a personal experience, it's important to keep the information confidential." c. "Talking to family members about our group discussions will help us achieve our goals." d. "Everyone is expected to share a personal experience at each group meeting." e. "It is important for everyone to arrive on time for our group."
When assessing a patient's pain, the nurse should question the patient about location, intensity, quality of the pain, and
A) Pain tolerance B) Level of consciousness C) Temporal pattern D) Objective signs