A geriatric patient with a history of gout presents with

A geriatric patient with a history of gout presents with an acute attack. He had stopped taking allopurinol (Zyloprim) for a few months but resumed taking it a few days ago when the pain returned. He says that the pain is getting worse. The nurse practitioner should: Group of answer choices Start the patient on a short-term steroid Continue allopurinol and order a serum uric acid test to confirm gout as the diagnosis Continue allopurinol and encourage dietary changes to avoid foods high in purines Start another hypouricemic agent such as probenecid and titrate allopurinol to a lower dose Flag question: Question 91 Question 91 1 pts Which of the following bacteria are commonly associated with pyelonephritis? Group of answer choices Enterococcus Klebsiella Staphylococcus Streptococcus Flag question: Question 92 Question 92 1 pts Your patient has presented with flank pain, CVA tenderness, frequency. Which diagnostic finding would be useful to differentiate between cystitis and pyelonephritis? Group of answer choices UA with presence of RBC casts UA with presence of WBC casts Presence of hematuria UC positive for proteus mirabilis

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