With allopurinol therapy, continued gout attacks can occur during the initial treatment phase. Which other medication can be used to prevent these attacks?
a. NSAID
b. Celebrex
c. Colchicine
d. Zanaflex
ANS: C
Allopurinol may also cause a gout attack during the initial treatment phase. This is easily prevented by prophylactic use of colchicine.
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A client is newly diagnosed with type 2 diabetes mellitus. Which diagnostic test will best evalu-ate the management plan prescribed for this client?
a. A yearly funduscopic examination by an ophthalmologist b. Regular foot examinations by a podiatrist c. Quarterly hemoglobin A1C d. Biannual cholesterol testing
The major impact that managed care plans have had on the health care system has been to
a. significantly improve the preventive care practices of individuals b. further reduce the costs of medical technology c. change the focus of primary care to the community d. improve the availability of health care pro-viders to clients
A 44-year-old client with a history of alcohol abuse and schizophrenia is being treated as an outpatient
He is living in a group home, has been stable for several months, is not abusing alcohol, and is not experiencing delusions or auditory hallucinations. Which of the following interventions most appropriately includes the client in decisions about his treatment? A) Suggest the client decide whether to take his medication, based on his symptoms. B) Include the client in developing a treatment plan in case he becomes acutely psychotic in the future. C) Agree with the client's suggestion that he terminate treatment and call if he experiences a relapse. D) Encourage the client to make a decision about living independently.
A child is brought to the emergency department in a coma. The mother thinks the child may have ingested a poison. Which will the nurse assess based on this information? Select all that apply
1. For oral burns 2. The child's breath 3. The child's vomitus 4. Hair samples 5. Blood and urine toxicology screens