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The nurse is caring for a client with swelling to the distal phalanges, first big toe, and 10/10 pain. Which medication below would be administered for this client's acute gout?

A.

allopurinol

B.

febuxostat

C.

colchicine

D.

physostigmine

Answer and Explanation

The Correct Answer is C

A. Allopurinol is a xanthine oxidase inhibitor used for chronic gout management and prevention, not for acute attacks.  

 

B. Febuxostat is also used for chronic management of gout and not effective for immediate relief of an acute attack.  

 

C. Colchicine is indicated for the treatment of acute gout flares as it helps reduce inflammation and pain associated with gout attacks.  

 

D. Physostigmine is an antidote for anticholinergic toxicity and has no role in treating gout.


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Correct Answer is C

Explanation

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C. Combination birth control pills increase the risk of thromboembolic events, such as deep vein thrombosis (DVT) and pulmonary embolism, making it essential to monitor for signs of these complications.

D. Osteoporosis is a long-term concern but is not an acute effect of combination birth control pills; monitoring for thromboembolism is more critical.

Correct Answer is A

Explanation

A. Bisacodyl is a stimulant laxative that can lead to dependency if used daily, as the body may become reliant on the medication for bowel movements. Chronic use can also result in electrolyte imbalances and diminished bowel function.

B. Psyllium is a bulk-forming laxative that works by increasing the bulk of stool and does not typically lead to dependency.

C. Polyethylene glycol is an osmotic laxative that can be used daily without a significant risk of dependency, as it draws water into the bowel to facilitate stool passage.

D. Docusate sodium is a stool softener that aids in preventing constipation but does not carry a risk of dependency when used regularly.

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