The nurse is assessing a patient who has gout who will begin taking allopurinol (Zyloprim). The nurse reviews the patient's medical record and will be concerned about which laboratory result?
a. Elevated BUN and creatinine
b. Increased serum uric acid
c. Slight increase in the white blood count
d. Increased serum glucose
ANS: A
Antigout drugs are excreted via the kidneys, so patients should have adequate renal function.
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A hearing-impaired patient is scheduled to have an MRI done. What would be important for the nurse to remember when caring for this patient?
A) Patient is unable to hear nurse during test B) A person adept in sign language must be present during test C) Lip reading will be the method of communication that is necessary D) To treat the patient like every other patient
A patient with arterial insufficiency should be instructed to:
1. frequently allow the legs to dangle dependently. 2. rub the legs vigorously. 3. stand often to keep blood flow in the legs. 4. walk barefoot.
Exercise has no effect on gastrointestinal function.
Answer the following statement true (T) or false (F)
An older adult patient is to receive atenolol, a beta-adrenergic blocking agent. Prior to administration of the drug, the nurse assesses an apical pulse rate of 58 and notes ankle edema. Which action will the nurse take first?
a. Determine the therapeutic blood level. b. Encourage the patient to decrease water intake. c. Elevate the patient's legs. d. Withhold the medication.