A patient calls the clinic to report severe exacerbation of gout. The patient says, "My probenecid (Probalan) is not helping." The nurse would consider which information before responding?

1. The patient is confused on the drug name as probenecid (Probalan) is administered intravenously.
2. The patient will not have relief of pain until probenecid (Probalan) levels are increased, which takes at least 48 hours.
3. Probenecid (Probalan) is not used to treat acute attacks of gout.
4. The patient should take the probenecid (Prolan) with an acidic drink like orange juice.


3
Rationale 1: Probenecid (Probalan) is taken orally.
Rationale 2: There is no need to wait 48 hours for pain relief.
Rationale 3: Probenecid (Probalan) is not used for relief of gouty arthritis because it has no anti-inflammatory properties.
Rationale 4: There is no need to take this medication with an acidic drink.

Global Rationale: Probenecid (Probalan) is not used for relief of gouty arthritis because it has no anti-inflammatory properties. There is no need to wait 48 hours for pain relief. Probenecid (Probalan) is taken orally. There is no need to take this medication with an acidic drink.

Nursing

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What characteristics are typical for a caregiver of an aging family member? (Select all that apply.)

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A patient at the crisis intervention clinic states, "When I got up this morning, I realized I could not go on any longer." Select the nurse's best response to facilitate analyzing the problem and making a nursing diagnosis

a. "How long have you been feeling this way?" b. "What is different about your feelings today?" c. "We are here to help you. I'm glad you decided to come to the center." d. "You said you felt like you could not go on. Tell me more about that."

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A 3-year-old child, recently hospitalized for the exacerbation of a chronic illness, presents for a follow-up appointment at the pediatric clinic

The child's mother states, "He was potty trained before the hospital stay but now he is having daily accidents." Which response by the nurse is most appropriate? 1. "This is probably a reaction to the antibiotics and will disappear when the antibiotics are finished." 2. "Urinary incontinence is a common symptom of progression of cystic fibrosis. Be sure to notify the healthcare provider of this change." 3. "The child may have a urinary tract infection and needs to be evaluated." 4. "Children often regress after hospitalization. Be patient and remind him to go to the bathroom frequently."

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