A 62-year-old male patient has been prescribed allopurinol (Zyloprim) for the treatment of gout. When providing health education to this patient about his new medication, the nurse should know that this drug achieves a therapeutic effect by:
A) Interrupting the breakdown of purines
B) Increasing renal excretion of uric acid
C) Buffering the presence of uric acid in joints
D) Inhibiting the inflammatory process
A
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The client relies on deceit and manipulation to get his own way. He seems to have a complete lack of conscience. His goal is always self-gratification at the other person's expense. He is referred to as:
a. A nerd b. A psychotic c. A psychopath d. Narcissistic
Which client situation should a nurse identify as reflective of the impulsive behavior that is commonly associated with borderline personality disorder?
A. As the day shift nurse leaves the unit, the client suddenly hugs the nurse's arm and whispers, "The night nurse is evil. You have to stay." B. As the day shift nurse leaves the unit, the client suddenly hugs the nurse's arm and states, "I will be up all night if you don't stay with me." C. As the day shift nurse leaves the unit, the client suddenly hugs the nurse's arm, yelling, "Please don't go! I can't sleep without you being here." D. As the day shift nurse leaves the unit, the client suddenly shows the nurse a bloody arm and states, "I cut myself because you are leaving me."
A nurse is caring for a 70-year-old client who has undergone hip replacement surgery. What measures must the nurse employ when caring for this client?
A) Assist the client to cross the legs as often as possible. B) Restrict the client from bending more than 90 degrees. C) Assist the client to gently turn the affected leg inward. D) Provide back care twice a day when the client is on bed rest.
The nurse is caring for a patient who had an abdominal hysterectomy and reports pain from gas postoperatively. Which of the following actions should the nurse take?
a. Offer a hot beverage. b. Provide an extra blanket. c. Apply an abdominal binder. d. Help the patient ambulate.