A patient who is receiving methotrexate for lung cancer has a serum uric acid of 8 mg/dL and develops excruciating pain in the great toe. What should be used to minimize the effects of the patient's metabolic problem and prevent nephrotoxicity?

A. IV fluids
B. colchicine
C. naproxen (Naprosyn)
D. probenecid (Benemid)


Answer: A. IV fluids

Nursing

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The client has been brought via ambulance to the emergency department (ED) following a motor vehicle accident. The nurse notes that the client's ear is draining clear fluid. Which is the priority nursing action?

1. Requesting information from the client regarding any chronic allergies. 2. Testing the drainage for glucose. 3. Asking the client if there have been recent middle ear infections. 4. Irrigating the ear with warm mineral oil or peroxide, and flushing with warm water.

Nursing

MC The number of physicians in the United States nationwide is sufficient to meet health care needs, but this number has contributed to escalating health care costs due to

A. Increased numbers of uninsured citizens. B. More expensive prescription medications being prescribed. C. The higher number of specialists than generalists. D. Decreased hospital beds nationwide.

Nursing

Which ethnic groups in the United States have higher rates of diabetes mellitus than non-Hispanic white people?

a. Pima Indians b. Alaskan Natives c. Cuban Americans d. Native Americans e. African Americans f. Mexican Americans

Nursing

The nurse has seen a 15-year-old girl and a 16-year-old boy during health-surveillance visits. Which of the following physical characteristics would be seen in both teenagers?

A) Decreased respiratory rates of 15-20 breaths per minute B) Eruption of last four molars C) Increased shoulder, chest, and hip widths D) Fully functioning sweat and sebaceous glands

Nursing