The client with a new medication prescription for allopurinol (Zyloprim) asks the nurse, "I know this is for gout, but how does it work?" In formulating a response, the nurse understands that allopurinol:
1. Decreases uric acid production
2. Reduces the production of fibrinogen
3. Lowers the risk of sulfa crystal formation in the urine
4. Prevents influx of calcium ions during cell depolarization
1
Rationale: Allopurinol (Zyloprim) is classified as an antigout medication. It decreases uric acid production by inhibiting the xanthine oxidase enzyme and reduces uric acid concentrations in both serum and urine. The other options are incorrect.
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The nurse assesses that the home health patient has no signs or symptoms of heart failure, but does have a history of rheumatic fever and has been recently diagnosed with diabetes mellitus
The nurse is aware that using the American College of Cardiology and the American Heart Association (ACC/AHA) staging, this patient would be a: a. stage A. b. stage B. c. stage C. d. stage D.
The nurse on a medical unit is discussing a client with the case manager. Which of the following should the nurse share with the case manager?
a. Discuss personal information that the client shared with the nurse in confidence. b. Provide the case manager with any information required for continuity of care. c. Explain that client confidentiality prevents the nurse from disclosing information. d. Ask the case manager to get the client's permission before sharing information.
Nurses are often sought out to help with primary prevention planning. Which of the following actions would not be included in primary prevention?
A) Sharing the plan with teachers B) Teaching adults about stress reactions and how to comfort the children C) Spending time caring for the wounded D) Encouraging individuals to maintain a good support system
Which one of the following statements by the parent of a child indicates that further teaching by the nurse is required?
1. "Now that my child is 2 years old, I can let her sit in the front seat of the car with me." 2. "I make sure that my child wears a helmet when he rides his bicycle." 3. "I have spoken to my child about safe sex practices." 4. "My child is taking swimming classes at the community center."