A client diagnosed with gout has prescriptions for colchicine and allopurinol to control future attacks. What is the most important information for the practical nurse (PN) to reinforce with the client?
Report diarrhea.
Anticipate a low-grade fever.
Expect anorexia.
Watch for thinning hair.
The Correct Answer is A
Choice A rationale
Colchicine and allopurinol are commonly used to manage gout. Colchicine can cause gastrointestinal side effects, including diarrhea. Therefore, it’s important for patients to report any such symptoms to their healthcare provider.
Choice B rationale
While a low-grade fever could potentially be a side effect of many medications, it is not specifically associated with colchicine or allopurinol.
Choice C rationale
Anorexia is not a common side effect of either colchicine or allopurinol.
Choice D rationale
Thinning hair is not a common side effect of either colchicine or allopurinol.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Mouth dryness is not a typical therapeutic result of minoxidil. It’s not listed as a common side effect either.
Choice B rationale
Dizziness is a known side effect of minoxidil. It can occur when the medication causes a drop in blood pressure, leading to lightheadedness or dizziness.
Choice C rationale
An elevated blood glucose level is not related to the administration of minoxidil. It could be an unrelated finding, possibly indicating another condition like diabetes.
Choice D rationale
Pain rated at 1/10 is not directly related to the therapeutic effect or side effects of minoxidil. It could be an unrelated finding.
Correct Answer is C
Explanation
Choice C rationale
Keratolytics are medications designed to dissolve skin flakes and scales. In the treatment of psoriasis, a condition characterized by thick, scaly patches of skin, the desired effect of a keratolytic would be to soften and reduce these scales.
Choice A rationale
While no purulent drainage present from lesions on the legs could be a positive sign in the treatment of psoriasis, it is not a direct result of the keratolytic properties of the applied preparation.
Choice B rationale
Affected areas being free of localized redness and swelling could be a positive sign in the treatment of psoriasis, but it is not a direct result of the keratolytic properties of the applied preparation.
Choice D rationale
Full range of motion without pain of lower extremity joints is not a direct result of the keratolytic properties of the applied preparation. It could be a positive sign in the overall treatment of psoriasis, but it is not directly related to the use of a keratolytic.
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