Pharmacology EDAPT - Nursing Application: Antigout Drugs

A patient has been prescribed allopurinol (Zyloprim). Which statement made by the patient requires follow-up from the health care provider?

This medication will help relieve the inflammation and pain during an acute attack

During a home health care visit, the nurse is helping Mr. Smith identify foods that can aggravate his gout. The nurse provides patient teaching on which of following foods that should be avoided? (SATA)

-Beer -Sardines -Sweet bread

NSAIDS used to treat gout can effect multiple systems within the body. Which of the following systems can it effect? (SATA)

-Cardiovascular -Hematologic -Gastrointestinal -Renal

What lab values are needed before beginning gout treatment? (SATA)

-Hematologic -Renal -Hepatic

Which of the following are risk factors for developing gout? (SATA)

-Male gender -Drinking alcohol -Eating foods high in fructose -Obesity -Eating foods high in purines

Medical conditions that increase an individual's risk for developing gout include which of the following? (SATA)

-Metabolic syndrome -Insulin resistance -Diabetes -Congestive heart failure

What information is included in a complete medication history needed prior to beginning gout therapy? (SATA)

-over-the-counter drugs -herbal medications -supplements -prescription drugs -drug allergies

Match the nursing diagnosis to the corresponding related to statement. 1. Drug therapy for treatment of a disease process. 2. The effects of the disease and its treatment on mobility and performance of ADL. 3. The disease process or injury to joints and other disease-affected areas.

1. Deficient knowledge (actual or risk for) 2. Risk for injury 3. Acute pain

Colchicine is best taken ___(1)____ to aid absorption, but is best tolerated with ___(2)___.

1. without food 2. with food

Which of the following patients is at highest risk for developing gout?

A 45 year old male with a BMI of 40 who reports taking hydrochlorothiazide and aspirin

The nurse is performing a head-to-toe assessment on a patient with a history of gout. Which of the following sites does gout most often start?

Big toe

Clients taking antigout medications should be instructed to do which of the following?

Increase their fluid intake to at least 2000mL per day

Match the letter to the word for the OLD CARTS pain assessment.

Just match First letter of word is the letter you choose.

One method to a thorough and consistent pain assessment is the use of what mnemonic?

OLD CARTS

Identify the correct outcome statements for gout treatment. (SATA)

Select all answers

If aspirin is used as an antigout drug, the oral dosage forms _____ given with food, milk, or meals.

are