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 D
Explanation
Choice A rationale: Antiretroviral therapy (ART) effectively suppresses the virus, which strengthens the immune system. This significantly reduces the risk of developing opportunistic infections and other serious complications associated with advanced AIDS.
Choice B rationale: Current medical science does not have a cure for HIV. Antiretroviral medications manage the chronic condition by preventing the virus from replicating, but they do not eliminate it completely.
Choice C rationale: The primary goal of ART is to reduce the plasma HIV RNA to undetectable levels. This prevents further immune system damage and reduces the risk of drug resistance developing.
Choice D rationale: While an undetectable viral load significantly reduces the risk, the medication itself does not provide a 100% guarantee against transmission. Patients must still practice safe behaviors to protect others.
Correct Answer is C
Explanation
Choice A rationale
Diminished urinary urgency is an expected outcome of oxybutynin treatment, as the
medication works by relaxing the muscles of the bladder.
Choice B rationale
Reduced urinary frequency is another expected outcome of oxybutynin treatment.
Choice C rationale
Decreased urinary output is not a typical effect of oxybutynin. In fact, oxybutynin is used to
manage symptoms of an overactive bladder, which include frequent urination. Therefore, if the
PN observes decreased urinary output, it could indicate a problem such as urinary retention,
which should be reported to the charge nurse.
Choice D rationale
Less frequent urinary incontinence is an expected outcome of oxybutynin treatment.
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