Which are suitable nursing interventions for a patient who has gout?
a. Nonsteroidal antiinflammatory drugs (NSAIDs) and glucosamine
b. Liquid paraffin hand baths and disease-modifying antirheumatic drugs
c. Colchicine (Colsalide) by mouth and methylprednisolone (Solu-Medrol) injections
d. Hyaluronic acid injections and aspirin
C
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A Incorrect. Glucosamine is used by some persons with osteoarthritis; NSAIDs can be used in pain management in all forms of arthritis.
B Incorrect. Liquid paraffin hand baths can be used to relieve pain in OA and RA, whereas disease-modifying antirheumatic drugs are used only in RA.
C Correct. Colchicine and injections of long-acting steroids directly into the af-fected joint are indicated in the treatment of an acute gout attack.
D Incorrect. Hyaluronic acid injections are used by some to relieve the pain of OA in the knee. Salicylates should not be used in gout because they can exacerbate an attack.
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A patient in spiritual distress asks a nurse what he thinks about religion. Which of the following replies would be appropriate and therapeutic?
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A client comes into the Emergency Department with a non–life-threatening wound to the hand that will require stitches. The department is quite busy with other clients, their families, and other people in the waiting room. The best way for the nurse to conduct an interview with this client is to:
A) Have the client wait until the department quiets down, since the wound is not too serious. B) Tell the client to wait in the waiting room and fill out the paperwork. C) Make sure the client sits with her back to the rest of the room so as not to be heard by passersby. D) Draw curtains around the client and nurse to provide as much privacy as possible.