Exam 38: Gout Medications

A primary care NP prescribes probenecid to treat a patient who has gout.The patient comes to the clinic 2 weeks later with severe flank pain.The NP should:

A patient who is taking colchicine for gout is in the clinic 1 week after beginning the medication.The patient reports decreased appetite and nausea.The primary care NP should:

A patient who has a previous history of renal stones will begin taking probenecid for gout.The primary care NP should:

A patient who is obese and has hypertension is taking a thiazide diuretic and develops gouty arthritis,which is treated with probenecid.At a follow-up visit,the patient's serum uric acid level is 7 mg/dL,and the patient denies any current symptoms.The primary care NP should discontinue the probenecid and:

A patient with a history of gouty arthritis comes to the clinic with acute pain and swelling of the great toe.The patient is not currently taking any medications.The primary care NP should prescribe:

Gout is diagnosed in a patient,and tests show the cause to be an underexcretion of uric acid.The primary care NP should prescribe:

A patient comes to the clinic reporting sudden pain and swelling of one knee joint.The primary care NP suspects gout.When preparing to order diagnostic tests,the most important initial test the primary care NP should order is:

A patient who has hypertension is taking a thiazide diuretic.The patient has a serum uric acid level of 8 mg/dL.The primary care nurse practitioner (NP)caring for this patient should: