What condition is allopurinol (Zyloprim) used to treat?
a. Gout resulting from antineoplastic therapy
b. Acute attacks of gouty arthritis
c. Cholelithiasis
d. First time gout attacks
ANS: A
Allopurinol can be used to treat primary gout or gout resulting from antineoplastic therapy. Allopurinol is not effective in treating acute attacks of gouty arthritis or gallstones and will not relieve a gout attack that has already started.
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An older adult who takes clozapine (Clozaril) has schizophrenia and a surgical wound. Which laboratory test is the nurse's priority to evaluate before administering the clozapine to this individual?
a. White blood cell count b. 2-hour urine for sodium c. Unconjugated bilirubin d. Clozapine serum level
The nursing instructor is discussing disorders of the hematopoietic system with the pre-nursing pathophysiology class. What disease would the instructor list with a primary characteristic of erythrocytosis?
A) Polycythemia vera B) Sickle cell disease C) Aplastic anemia D) Pernicious anemia
According to National League for Nursing (NLN), as described in Table 4-2, as a provider of care the RN
a. completes nursing assessment, interview, and history of client. d. establishes and maintains therapeutic relationship with clients, families, and significant other. b. assists with the development, evaluation, and modifications of nursing care plans. e. utilizes communication techniques to assist client in coping with and resolving problems. c. makes referrals for continued care after discharge. f. assists in client assessment.
A patient from Africa is being treated for East African trypanosomiasis. The nurse is preparing to administer a first dose of suramin sodium (Germanin). To prevent serious side effects, which action will the nurse take?
a. Administer a small test dose before giving the drug. b. Ask the patient to lie flat while the drug is given. c. Give a high-fat snack with the drug to minimize gastric upset. d. Suggest to the provider that liver function tests (LFTs) be performed.