Question

A nurse is educating a patient with gout about the medication probenecid (Benemid). What active effect should the nurse relay when explaining why this medication is prescribed?

1) Reduces inflammation in the affected joint
2) Relieves pain
3) Diminishes swelling
4) Increases excretion of uric acid

Answer 1

The nurse should explain that probenecid (Benemid), a uricosuric agent, is prescribed for gout to help increase the excretion of uric acid, thereby preventing the accumulation of uric acid crystals in the joints, the primary cause of gout.

Step-by-step explanation:

A nurse explaining why probenecid (Benemid) is prescribed for gout should communicate that this medication increases the excretion of uric acid. Probenecid works as a uricosuric agent, which reduces the re-absorption and promotes the excretion of uric acid in the urine. This effect prevents the build-up of uric acid crystals in the joints, which is the primary cause of gout flare-ups.

Gout is a form of arthritis characterized by the deposition of uric acid crystals in joints, resulting in pain and inflammation. While options like NSAIDs help reduce pain and inflammation, they do not address the underlying issue of uric acid accumulation. Dietary modifications can also aid in managing gout by reducing the number of purine-rich foods, which contribute to uric acid production.