The nurse determines that colchicine has been effective for a patient with an acute attack of gout upon finding
a. relief of joint pain.
b. increased urine output.
c. elevated serum uric acid.
d. increased white blood cells (WBC).
ANS: A
Colchicine produces pain relief in 24 to 48 hours by decreasing inflammation. The recommended increase in fluid intake of 2 to 3 L/day would increase urine output but would not indicate the effectiveness of colchicine. Elevated uric acid levels would result in increased symptoms. The WBC count might decrease with decreased inflammation, but would not increase.
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A client has rheumatoid arthritis that especially affects the hands. The client wants to finish quilting a baby blanket before the birth of her grandchild. What response by the nurse is best?
a. "Let's ask the provider about increasing your pain pills." b. "Hold ice bags against your hands before quilting." c. "Try a paraffin wax dip 20 minutes before you quilt." d. "You need to stop quilting before it destroys your fingers."
During the respiratory assessment of a client the nurse wishes to locate the angle of Louis. Which landmarks will the nurse use to identify this structure?
1. Clavicle. 2. Sternum. 3. First rib. 4. Vertebral column.
D.H. states that she is feeling discomfort and asks you whether there is alternative therapy
available before taking medication. List at least four alternative methods to assist D.H. with controlling her discomfort. What will be an ideal response?
A postpartum woman who describes symptoms of hallucinations and suicidal thoughts is most likely experiencing postpartum __________
Fill in the blank with the appropriate word.