Nokea
Henry presents to clinic with a significantly swollen, painful great toe and is diagnosed with gout. Of the following, which would be the best treatment for Henry?
- A. High-dose colchicine
- B. Low-dose colchicine
- C. High-dose aspirin
- D. Acetaminophen with codeine
Correct Answer: B
Rationale: Low-dose colchicine effectively treats acute gout with fewer side effects than high-dose ; aspirin worsens gout.
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The nursing assessment identifies that the client is nauseated and cannot take acetaminophen (Tylenol) orally. Which is true regarding the substitution of this medication to suppository form?
- A. It is standard practice when the patient is unable to take the ordered medication.
- B. It is acceptable if the patient agrees to the altered route form.
- C. It is preferable to having the patient miss a dose of the medication.
- D. It is contraindicated without an order from the health care provider.
Correct Answer: D
Rationale: One dosage form of medication should never be substituted for another unless the prescriber is consulted; there can be a great variation in the absorption rate of the medication through different routes of administration. The substitution of one form for another is not standard practice, and is not acceptable or preferable without the prescriber's order.
A nurse's learning goals for the year include reviewing the most up-to-date information about emergency preparedness related to bioterrorism agents. What should the nurse do?
- A. Read textbooks devoted to the topic
- B. Review best practices around triage and emergency care
- C. Read journal articles about bioterrorism agents
- D. Visit the Centers for Disease Control and Prevention (CDC) Web site
Correct Answer: D
Rationale: The CDC website provides the most current, authoritative bioterrorism preparedness information.
Select a drug used in the treatment of primary hyperaldosteronism that may cause hyperkalemia:
- A. Acetazolamide
- B. Mannitol
- C. Torsemide
- D. Spironolactone
Correct Answer: D
Rationale: Spironolactone, an aldosterone antagonist, causes potassium retention.
Which of the following is thyroid hormone:
- A. Triiodthironine
- B. Monoiodthirozine
- C. Diiodthirozine
- D. Octaiodthironine
Correct Answer: A
Rationale: Triiodothyronine (T3) is a key thyroid hormone that regulates metabolism, unlike the others which are not primary hormones.
Patients who are being treated with epoetin alfa need to be monitored for the development of:
- A. Thrombocytopenia
- B. Neutropenia
- C. Hypertension
- D. Gout
Correct Answer: C
Rationale: Epoetin alfa can cause hypertension by increasing red cell mass; blood count issues or gout are less common.